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Hemifacial spasm in a child

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Abstract

Hemifacial spasm in a 10-year-old child is herein reported. Computed tomography and angiography were normal. Magnetic resonance imaging showed an anomalous vascular structure, probably a redundant loop arising from AICA or PICA, which was identified at surgery. The spasm, presumably due to vascular compression at the root entry zone of the right facial nerve, promptly and completely remitted after surgical decompression, without functional deficits. Atypical clinical features, as well as pre- and postoperative neurophysiological findings supporting the microvascular compression theory, are discussed.

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Authors and Affiliations

  1. Child Neurology Department, Istituto Neurologico “C. Besta”, Via Celoria, 11, I-20133, Milan, Italy

    N. Milani & L. Angelini

  2. Neurophysiology Department, Istituto Neurologico “C. Besta”, Via Celoria, 11, I-20133, Milan, Italy

    V. Scaioli

  3. Neurosurgery Department, Istituto Neurologico “C. Besta”, Via Celoria, 11, I-20133, Milan, Italy

    S. Giombini

  4. Neuroradiology Department, Istituto Neurologico “C. Besta”, Via Celoria, 11, I-20133, Milan, Italy

    M. Grisoli

Authors
  1. N. Milani
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  2. V. Scaioli
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  3. S. Giombini
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  4. M. Grisoli
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  5. L. Angelini
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Milani, N., Scaioli, V., Giombini, S. et al. Hemifacial spasm in a child. Child's Nerv Syst 7, 466–468 (1991). https://doi.org/10.1007/BF00263191

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  • DOI: https://doi.org/10.1007/BF00263191

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