Neurosurgical Review

, Volume 21, Issue 2–3, pp 167–170 | Cite as

Transient hemifacial spasm associated with subarachnoid brainstem cysticercosis: A case report

  • Rogelio Revuelta Gutierrez
  • José Luis Soto-Hernández
  • Roberto Suastegui-Roman
  • Jaime Ramos-Peek
Article
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Accepted:

Abstract

The authors present the case of a 69 year old woman who developed bladder incontinence and confusion. A CT scan showed severe hydrocephalus and calcifictions, prompting a ventriculoperitoneal shunt placement. On the day after operation the patient presented left hemifacial spasm. MR revealed a subarachnoid cysticercus rostral to the pons, and surgical excision was proposed. She refused surgery and was placed on prednisone. Brainstem auditory responses were absent on the left side 2 months after shunting and were still abnormal 53 months later. The hemifacial spasm disappeared 3 months after shunt placement and has not recurred in 5 years of follow-up.

Keywords

Archnoiditis cerebellopontine angle cysticercosis facial nerve diseases 
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Copyright information

© Walter de Gruyter GmbH & Co 1998

Authors and Affiliations

  • Rogelio Revuelta Gutierrez
    • 1
  • José Luis Soto-Hernández
    • 2
  • Roberto Suastegui-Roman
    • 3
  • Jaime Ramos-Peek
    • 4
  1. 1.Department of NeurosurgeryNational Institute of Neurology and NeurosurgeryMexico CityMexico
  2. 2.Department of Infectious DiseasesNational Institute of Neurology and NeurosurgeryMexico CityMexico
  3. 3.Department of NeurologyNational Institute of Neurology and NeurosurgeryMexico CityMexico
  4. 4.Department of Clinical ElectrophysiologyNational Institute of Neurology and NeurosurgeryMexico CityMexico

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