Neuroradiology

, Volume 35, Issue 8, pp 606–611 | Cite as

Magnetic resonance tomographic angiography in the investigation of hemifacial spasm

  • B. Bernardi
  • R. A. Zimmerman
  • P. J. Savino
  • C. Adler
Head and Neck Radiology

Abstract

Magnetic resonance angiography (MRA), combined with submillimeter magnetic resonance tomographic angiographic sections (MRTA) showed vascular compression of the 7th cranial nerve or its root exit zone (REZ) in the brain stem in 24 of 37 patients (64.86%) with hemifacial spasm. MRA alone was positive for REZ compression in only 19 (51.4%) cases, while conventional MRI was even less revealing, only 10 (27%) cases being positive.

Key words

Magnetic resonance angiography Magnetic resonance imaging Hemifacial spasm 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Anderson CM, Saloner D, Tsuruda JS et al (1990) Artifacts in maximum-intensity-projection display of MR angiograms. AJR 254: 623–629Google Scholar
  2. 2.
    Laub GA, Kaiser WA (1988) MR angiography with gradient motion refocusing. J Comput Assist Tomogr 12: 377–382Google Scholar
  3. 3.
    Eckman PB, Kramer RA, Altrocchi PH (1971) Hemifacial spasm. Arch Neurol 25: 81–87Google Scholar
  4. 4.
    Ehni G, Woltman HW (1945) Hemifacial spasm: review of one hundred and six cases. Arch Neurol Psychiatry 53: 205–211Google Scholar
  5. 5.
    Holds JB, Anderson RL, Jordan DR, et al (1990) Bilateral hemifacial spasm. J Clin Neuro Ophthalmol 10: 153–154Google Scholar
  6. 6.
    Carter JB, Patrinely JR, Jankovic J et al (1990) Familial hemifacial spasm. Arch Ophthalmol 108: 249–250Google Scholar
  7. 7.
    Coad JE, Wirtschafter JD, Haines SJ, et al (1991) Familial hemifacial spasm associated with arterial compression of the facial nerve: case report. J Neurosurg 74: 290–296Google Scholar
  8. 8.
    Friedman A, Jamrozik Z, Bojakowski J (1989) Familial hemifacial spasm. Mov Disord 4: 213–218Google Scholar
  9. 9.
    Maroon JC, Lunsford LD, Deeb ZL (1978) Hemifacial spasm due to aneurysmal compression of the facial nerve. Arch Neurol 35: 545–546Google Scholar
  10. 10.
    Auger RG, Piepgras DG (1989) Hemifacial spasm associated with epidermoid tumors of the cerebellopontine angle. Neurology 39: 577–580Google Scholar
  11. 11.
    Gagliardi FM, Vagnozzi R, Caruso R, et al (1980) Epidermoid of the cerebellopontine angle (CPA): usefulness of CT scan. Acta Neurochir (Wien) 54: 271–281Google Scholar
  12. 12.
    Miyazaki S, Fukushima T (1983) CP angle epidermoid presenting as hemifacial spasm [English abstract]. No to Shinkei 35: 951–955Google Scholar
  13. 13.
    Otsuna S, Nakatsu S, Matsumoto S, et al (1989) Epidermoid tumor presenting with trigeminal neuralgia and ipsilateral hemifacial spasm: a case report. Nippon-Geka-Hokan 58: 245:249Google Scholar
  14. 14.
    Levin JM, Lee JE (1987) Hemifacial spasm due to cerebellopontine angle lipoma: case report. Neurology 37: 337–339Google Scholar
  15. 15.
    Loeser JD, Chen J (1983) Hemifacial spasm: treatment by microsurgical facial nerve decompression. Neurosurgery 13: 141–146Google Scholar
  16. 16.
    Pierry A, Cameron M (1979) Clonic hemifacial spasm from posterior fossa arteriovenous malformation. J Neurol Neurosurg Psychiatry 42: 670–672Google Scholar
  17. 17.
    Savino PJ, Maus M (1991) Botulinum toxin therapy. Neurol Clin 9: 205–224Google Scholar
  18. 18.
    Sprik C, Wirtschafter JD (1988) Hemifacial spasm due to intracranial tumor: an international survey of botulinum toxin investigators. Ophthalmology 95: 1042–1045Google Scholar
  19. 19.
    Dujovni M, Osgord CP, Faille R, et al (1979) Posterior fossa AVM producing hemifacial spasm: a case report. Angiology 30: 425–432Google Scholar
  20. 20.
    Silbert MU, Sanjok BA, Earnest P (1987) Vascular malformations of the posterior fossa. Clinical and radiologic features. Arch Neurol 44: 965–969Google Scholar
  21. 21.
    Tokimura H, Atsuchi M, Todoroki K, et al (1988) A case of cerebellar arteriovenous malformation with hemifacial spasm at onset [English abstract]. No-Shinkei-Geka 16: 769–773Google Scholar
  22. 22.
    Yang PJ, Higashida RT, Van Halbach V, et al (1989) Intravascular embolization of a cerebellar arterovenous malformation for treatment of hemifacial spasm. AJNR 10: 403–405Google Scholar
  23. 23.
    Digre K, Corbett JJ (1988) Hemifacial spasm: differential diagnosis, mechanism and treatment. Adv Neurol 49: 151–176Google Scholar
  24. 24.
    Ambrosetto P, Forlani S (1988) Lacunar pontine infarction presenting as isolated facial spasm (letter). Stroke 19: 784–785Google Scholar
  25. 25.
    Kawakami M, Sato T, Tochigi S, et al (1990) Lacunar pontine infarction with hemifacial spasm as the initial symptom (letter). Stroke 21: 1236Google Scholar
  26. 26.
    Gardner WJ, Sava GA (1962) Hemifacial spasm: a reversible pathophysiologic state. J Neurosurg 19: 240–247Google Scholar
  27. 27.
    Jannetta PJ, Abbasy M, Maroon JC, et al (1977) Etiology and definite microsurgical treatment of hemifacial spasm: operative techniques and results in 47 patients. J Neurosurg 47: 321–328Google Scholar
  28. 28.
    Adams CB (1988) Microvascular compression: an alternative view and hypothesis. Neurosurgery 70: 1–12. See comment in J Neurosurg 1989; 71: 459–464Google Scholar
  29. 29.
    Jannetta PJ (1980) Neurovascular compression in cranial nerve and systemic disease. Ann Surg 192: 518–525Google Scholar
  30. 30.
    Digre KB, Corbett JJ, Smoker WRK, et al (1988) CT in hemifacial spasm. Neurology 38: 111–113Google Scholar
  31. 31.
    Tash RR, Kier EL, Chyatte D (1988) Hemifacial spasm caused by a tortuous vertebral artery: MR demonstration. J Comput Assist Tomogr 12: 492–494Google Scholar
  32. 32.
    Birbamer G, Felber S, Poewe W, et al (1990) MR angiography —a new noninvasive approach in diagnosis of hemifacial spasm. Mov Disord 5 (suppl 1): 69Google Scholar
  33. 33.
  34. 34.
    Von Eichhorn M (1990) Ursachen für die Entstehung von Variationen in Verlauf der Arteria vertebralis und der Arteria basilaris. [English abstract] Gogenbaurs Morphol Jahrb 136: 127–134Google Scholar
  35. 35.
    Marchal G, Bosmans H, Van Fraeyenhoven L, et al (1990) Intracranial vascular lesions: optimization and clinical evaluation of three-dimensional time-of-flight MR angiography. Radiology 175: 443–448Google Scholar
  36. 36.
    Ross JS, Masaryk TJ, Modic MT, et al (1989) Magnetic resonance angiogrpahy of the extracranial carotid arteries and intracranial vessels: a review. Neurology 39: 1369–1376Google Scholar
  37. 37.
    Keller PJ, Drayer BP, Fram EK, et al (1989) MR angiography with two-dimensional acquisition and three-dimensional display. Radiology 173: 527–532Google Scholar
  38. 38.
    Jannetta PJ (1987) Hemifacial spasm resolution without vascular decompression (letter). Neurosurgery 20: 83Google Scholar
  39. 39.
    Auger RG, Piepgras DG, Laws ER (1986) Hemifacial spasm: results of microvascular decompression of the facial nerve in 54 patients. Mayo Clinic Proc 61: 640–644Google Scholar
  40. 40.
    Calbucci F, Tognetti F, Bollini C, et al (1986) Intracranial microvascular decompression for “cryptogenic” hemifacial spasm, trigeminal and glossopharyngeal neuralgia, paroxysmal vertigo and tinnitus: 1. Surgical technique and results. Ital J Neurol Sci 7: 359–366Google Scholar
  41. 41.
    Fabinyi GCA, Adams CBT (1978) Hemifacial spasm: treatment by posterior fossa surgery. J Neurol Neurosorg Psychiatry 41: 829–833Google Scholar
  42. 42.
    Fairholm D, Wu JM, Liu KN (1983) Hemifacial spasm: results of mcirovascular relocation. Can J Neurol Sci 10: 187–191Google Scholar
  43. 43.
    Jannetta PJ (1981) Hemifacial spasm in the cranial nerves: anatomy, pathology, pathophysiology, diagnosis, treatment. In: Samii M, Jannetta PJ (eds) Springer-Verlag, New York, pp 484–493Google Scholar
  44. 44.
    Kim P, Fakushina T (1984) Observations on synkinesis in patients with hemifacial spasm: effect of microvascular decompression and etiological considerations. J Neurosurg 60: 821–827Google Scholar
  45. 45.
    Neagoy DR, Dohn DF (1974) Hemifacial spasm secondary to vascular compression of the facial nerve. Cleve Clin Q 41: 205–214Google Scholar
  46. 46.
    Nielsen VK, Jannetta PS (1984) Pathophysiology of hemifacial spasm: effects of facial nerve decompression. Neurology 34: 891–897Google Scholar
  47. 47.
    Panagopoulos K, Chakraborty M, Deopujari CE, et al (1987) Neurovascular decompression for cranial rhizopathies. Br J Neurosurg 1: 235–241Google Scholar
  48. 48.
    Piatt JH Jr, Wilkins RH (1984) Treatment of tic douloureux and hemifacial spasm by posterior fossa exploration: therapeutic inplications of various neurovascular relationship. Neurosurgery 14: 462–471Google Scholar
  49. 49.
    Wilson CB, Yorke C, Prioleau G (1980) Microsurgical vascular decompression for trigeminal neuralgia and hemifacial spasm. West J Med 132: 481–484Google Scholar
  50. 50.
    Matsushima T, Inoue T, Fukui M (1990) Arteries in contact with the cisternal portion of the facial nerve in autopsy cases: microsurgical anatomy of neurovascular decompression surgery of hemifacial spasm. Surg Neurol 36: 87–93Google Scholar
  51. 51.
    Baba T, Matsushima T, Fukui M, et al (1988) Relationship between angiographical manifestations and operative findings in 100 cases of hemifacial spasm. Neurol Surg 16: 1355–1362Google Scholar
  52. 52.
    Carlos R, Fukui M, Hasuo K, et al (1986) Radiological analysis of hemifacial spasm with special reference to angiographic manifestations. Neuroradiology 28: 288–295Google Scholar
  53. 53.
    Jannetta PJ (1985) Posterior fossa neurovascular compression syndromes other than neuralgias. In: Wilkins RH Regachary SS (eds) Neurosurgery, vol 2. McGraw-Hill, New York, pp 1902–1906Google Scholar
  54. 54.
    Kondo A, Ishikawa J, Yamasaki T, et al (1980) Microvascular decompression of cranial nerves, particularly of the 7th cranial nerve. Neuro Med Chir (Tokyo) 20: 739–751Google Scholar

Copyright information

© Springer-Verlag 1993

Authors and Affiliations

  • B. Bernardi
    • 4
  • R. A. Zimmerman
    • 1
  • P. J. Savino
    • 2
  • C. Adler
    • 3
  1. 1.Department of RadiologyThe Children's Hospital of PhiladelphiaPhiladelphiaUSA
  2. 2.Wills Eye HospitalPhiladelphiaUSA
  3. 3.Mayo ClinicPhoenixUSA
  4. 4.Servizio Di NeuroradiologiaOspedale BellariaBolognaItaly

Personalised recommendations