Hemifacial Spasm Due to Contralateral Aneurysmal Compression of the Facial Nerve Successfully Treated With Endovascular Coil Embolization: Case Report
Abstract BACKGROUND AND IMPORTANCE: Hemifacial spasm is usually caused by compression of the facial nerve at the root exit zone (REZ), whereas fusiform aneurysmal compression is extremely rare. The authors describe symptomatic hemifacial spasm caused by a contralateral fusiform aneurysm of the verte...
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| Veröffentlicht in: | Neurosurgery 2011-09, Vol.69 (3), p.E768-E772 |
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| container_issue | 3 |
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| container_title | Neurosurgery |
| container_volume | 69 |
| creator | Nakagawa, Ichiro Takayama, Katsutoshi Kurokawa, Shinichiro Wada, Takeshi Nakagawa, Hiroyuki Kichikawa, Kimihiko Nakase, Hiroyuki |
| description | Abstract
BACKGROUND AND IMPORTANCE:
Hemifacial spasm is usually caused by compression of the facial nerve at the root exit zone (REZ), whereas fusiform aneurysmal compression is extremely rare. The authors describe symptomatic hemifacial spasm caused by a contralateral fusiform aneurysm of the vertebral artery (VA) that was treated by endovascular coil embolization.
CLINICAL PRESENTATION:
A 55-year-old woman developed left hemifacial spasm that had gradually worsened over a period of 2 years before admission to our hospital. Cerebral angiography showed an elongated right VA fusiform aneurysm near the VA union that inclined toward the left side. The cause of the facial spasm was considered to be compression of the left facial nerve REZ by the aneurysm. Endovascular parent artery embolization including the aneurysm was performed. The hemifacial spasm disappeared within 3 months.
CONCLUSION:
Hemifacial spasm caused by contralateral VA fusiform aneurysm can be treated by intravascular parent artery occlusion with coil embolization. |
| doi_str_mv | 10.1227/NEU.0b013e318218db06 |
| format | Article |
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BACKGROUND AND IMPORTANCE:
Hemifacial spasm is usually caused by compression of the facial nerve at the root exit zone (REZ), whereas fusiform aneurysmal compression is extremely rare. The authors describe symptomatic hemifacial spasm caused by a contralateral fusiform aneurysm of the vertebral artery (VA) that was treated by endovascular coil embolization.
CLINICAL PRESENTATION:
A 55-year-old woman developed left hemifacial spasm that had gradually worsened over a period of 2 years before admission to our hospital. Cerebral angiography showed an elongated right VA fusiform aneurysm near the VA union that inclined toward the left side. The cause of the facial spasm was considered to be compression of the left facial nerve REZ by the aneurysm. Endovascular parent artery embolization including the aneurysm was performed. The hemifacial spasm disappeared within 3 months.
CONCLUSION:
Hemifacial spasm caused by contralateral VA fusiform aneurysm can be treated by intravascular parent artery occlusion with coil embolization.</description><identifier>ISSN: 0148-396X</identifier><identifier>EISSN: 1524-4040</identifier><identifier>DOI: 10.1227/NEU.0b013e318218db06</identifier><identifier>PMID: 21832966</identifier><language>eng</language><publisher>United States: Oxford University Press</publisher><subject>Aneurysm - complications ; Aneurysm - surgery ; Aneurysms ; Case reports ; Cerebral Angiography ; Decompression, Surgical ; Embolization ; Embolization, Therapeutic - methods ; Facial Nerve Diseases - complications ; Facial Nerve Diseases - surgery ; Female ; Hemifacial Spasm - etiology ; Humans ; Magnetic Resonance Angiography ; Middle Aged ; Neurosurgery ; Radiculopathy - complications ; Surgical Instruments ; Tomography, X-Ray Computed ; Vertebral Artery - pathology</subject><ispartof>Neurosurgery, 2011-09, Vol.69 (3), p.E768-E772</ispartof><rights>Copyright © 2011 by the Congress of Neurological Surgeons</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c374t-58bfa761a537a892c860ffef1f88bb1bdd931b314b881e8711348cee172f629c3</citedby><cites>FETCH-LOGICAL-c374t-58bfa761a537a892c860ffef1f88bb1bdd931b314b881e8711348cee172f629c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21832966$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nakagawa, Ichiro</creatorcontrib><creatorcontrib>Takayama, Katsutoshi</creatorcontrib><creatorcontrib>Kurokawa, Shinichiro</creatorcontrib><creatorcontrib>Wada, Takeshi</creatorcontrib><creatorcontrib>Nakagawa, Hiroyuki</creatorcontrib><creatorcontrib>Kichikawa, Kimihiko</creatorcontrib><creatorcontrib>Nakase, Hiroyuki</creatorcontrib><title>Hemifacial Spasm Due to Contralateral Aneurysmal Compression of the Facial Nerve Successfully Treated With Endovascular Coil Embolization: Case Report</title><title>Neurosurgery</title><addtitle>Neurosurgery</addtitle><description>Abstract
BACKGROUND AND IMPORTANCE:
Hemifacial spasm is usually caused by compression of the facial nerve at the root exit zone (REZ), whereas fusiform aneurysmal compression is extremely rare. The authors describe symptomatic hemifacial spasm caused by a contralateral fusiform aneurysm of the vertebral artery (VA) that was treated by endovascular coil embolization.
CLINICAL PRESENTATION:
A 55-year-old woman developed left hemifacial spasm that had gradually worsened over a period of 2 years before admission to our hospital. Cerebral angiography showed an elongated right VA fusiform aneurysm near the VA union that inclined toward the left side. The cause of the facial spasm was considered to be compression of the left facial nerve REZ by the aneurysm. Endovascular parent artery embolization including the aneurysm was performed. The hemifacial spasm disappeared within 3 months.
CONCLUSION:
Hemifacial spasm caused by contralateral VA fusiform aneurysm can be treated by intravascular parent artery occlusion with coil embolization.</description><subject>Aneurysm - complications</subject><subject>Aneurysm - surgery</subject><subject>Aneurysms</subject><subject>Case reports</subject><subject>Cerebral Angiography</subject><subject>Decompression, Surgical</subject><subject>Embolization</subject><subject>Embolization, Therapeutic - methods</subject><subject>Facial Nerve Diseases - complications</subject><subject>Facial Nerve Diseases - surgery</subject><subject>Female</subject><subject>Hemifacial Spasm - etiology</subject><subject>Humans</subject><subject>Magnetic Resonance Angiography</subject><subject>Middle Aged</subject><subject>Neurosurgery</subject><subject>Radiculopathy - complications</subject><subject>Surgical Instruments</subject><subject>Tomography, X-Ray Computed</subject><subject>Vertebral Artery - pathology</subject><issn>0148-396X</issn><issn>1524-4040</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqNkctq3DAUhkVpaaZp3qAUQRddOdFtLLm74EySQkggF5qdkeQj4iBbrmQFpg_S543KpF1k1c3RAX3_x4EfoU-UHFLG5NHl5u6QGEI5cKoYVb0h9Ru0omsmKkEEeYtWhApV8aa-30MfUnokhNZCqvdor-CcNXW9Qr_PYRyctoP2-GbWacQnGfAScBumJWqvFygTH0-Q4zaNZW3DOEdIaQgTDg4vD4BPd_lLiE-Ab7K15dtl77f4NkIx9PjHsDzgzdSHJ51s9joWzeDxZjTBD7_0UmTfcKsT4GuYQ1w-ondO-wQHL-8-ujvd3Lbn1cXV2ff2-KKyXIqlWivjtKypXnOpVcOsqolz4KhTyhhq-r7h1HAqjFIUlKSUC2UBqGSuZo3l--jrzjvH8DNDWrpxSBa81xOEnDqlOKeEKVLIL6_Ix5DjVI7rGF_XSiohZaHEjrIxpBTBdXMcRh23HSXdn9q6Ulv3urYS-_wiz2aE_l_ob08FONoBIc__p3wGfMCkcw</recordid><startdate>20110901</startdate><enddate>20110901</enddate><creator>Nakagawa, Ichiro</creator><creator>Takayama, Katsutoshi</creator><creator>Kurokawa, Shinichiro</creator><creator>Wada, Takeshi</creator><creator>Nakagawa, Hiroyuki</creator><creator>Kichikawa, Kimihiko</creator><creator>Nakase, Hiroyuki</creator><general>Oxford University Press</general><general>Wolters Kluwer Health, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20110901</creationdate><title>Hemifacial Spasm Due to Contralateral Aneurysmal Compression of the Facial Nerve Successfully Treated With Endovascular Coil Embolization: Case Report</title><author>Nakagawa, Ichiro ; Takayama, Katsutoshi ; Kurokawa, Shinichiro ; Wada, Takeshi ; Nakagawa, Hiroyuki ; Kichikawa, Kimihiko ; Nakase, Hiroyuki</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c374t-58bfa761a537a892c860ffef1f88bb1bdd931b314b881e8711348cee172f629c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Aneurysm - complications</topic><topic>Aneurysm - surgery</topic><topic>Aneurysms</topic><topic>Case reports</topic><topic>Cerebral Angiography</topic><topic>Decompression, Surgical</topic><topic>Embolization</topic><topic>Embolization, Therapeutic - methods</topic><topic>Facial Nerve Diseases - complications</topic><topic>Facial Nerve Diseases - surgery</topic><topic>Female</topic><topic>Hemifacial Spasm - etiology</topic><topic>Humans</topic><topic>Magnetic Resonance Angiography</topic><topic>Middle Aged</topic><topic>Neurosurgery</topic><topic>Radiculopathy - complications</topic><topic>Surgical Instruments</topic><topic>Tomography, X-Ray Computed</topic><topic>Vertebral Artery - pathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nakagawa, Ichiro</creatorcontrib><creatorcontrib>Takayama, Katsutoshi</creatorcontrib><creatorcontrib>Kurokawa, Shinichiro</creatorcontrib><creatorcontrib>Wada, Takeshi</creatorcontrib><creatorcontrib>Nakagawa, Hiroyuki</creatorcontrib><creatorcontrib>Kichikawa, Kimihiko</creatorcontrib><creatorcontrib>Nakase, Hiroyuki</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Neurosurgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nakagawa, Ichiro</au><au>Takayama, Katsutoshi</au><au>Kurokawa, Shinichiro</au><au>Wada, Takeshi</au><au>Nakagawa, Hiroyuki</au><au>Kichikawa, Kimihiko</au><au>Nakase, Hiroyuki</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Hemifacial Spasm Due to Contralateral Aneurysmal Compression of the Facial Nerve Successfully Treated With Endovascular Coil Embolization: Case Report</atitle><jtitle>Neurosurgery</jtitle><addtitle>Neurosurgery</addtitle><date>2011-09-01</date><risdate>2011</risdate><volume>69</volume><issue>3</issue><spage>E768</spage><epage>E772</epage><pages>E768-E772</pages><issn>0148-396X</issn><eissn>1524-4040</eissn><abstract>Abstract
BACKGROUND AND IMPORTANCE:
Hemifacial spasm is usually caused by compression of the facial nerve at the root exit zone (REZ), whereas fusiform aneurysmal compression is extremely rare. The authors describe symptomatic hemifacial spasm caused by a contralateral fusiform aneurysm of the vertebral artery (VA) that was treated by endovascular coil embolization.
CLINICAL PRESENTATION:
A 55-year-old woman developed left hemifacial spasm that had gradually worsened over a period of 2 years before admission to our hospital. Cerebral angiography showed an elongated right VA fusiform aneurysm near the VA union that inclined toward the left side. The cause of the facial spasm was considered to be compression of the left facial nerve REZ by the aneurysm. Endovascular parent artery embolization including the aneurysm was performed. The hemifacial spasm disappeared within 3 months.
CONCLUSION:
Hemifacial spasm caused by contralateral VA fusiform aneurysm can be treated by intravascular parent artery occlusion with coil embolization.</abstract><cop>United States</cop><pub>Oxford University Press</pub><pmid>21832966</pmid><doi>10.1227/NEU.0b013e318218db06</doi></addata></record> |
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| subjects | Aneurysm - complications Aneurysm - surgery Aneurysms Case reports Cerebral Angiography Decompression, Surgical Embolization Embolization, Therapeutic - methods Facial Nerve Diseases - complications Facial Nerve Diseases - surgery Female Hemifacial Spasm - etiology Humans Magnetic Resonance Angiography Middle Aged Neurosurgery Radiculopathy - complications Surgical Instruments Tomography, X-Ray Computed Vertebral Artery - pathology |
| title | Hemifacial Spasm Due to Contralateral Aneurysmal Compression of the Facial Nerve Successfully Treated With Endovascular Coil Embolization: Case Report |
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