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Hemifacial spasm associated with focal bone hyperostosis

Lookup NU author(s): Dr Alistair Jenkins


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We present a rare case of hemifacial spasm in a 58-year- old patient in association with focal temporal bone hyperostosis. The patient presented with a 6-year history of progressive left hemifacial spasm, unresponsive to the conservative treatment. She underwent a typical microvasular decompression procedure, during which local hyperostosis of the interior surface of the left temporal bone was found, distorting the adjacent AICA and causing significant pressure on the facial nerve. The postoperative course was uneventful and in the 24-month follow up, the patient is spasm free.

Publication metadata

Author(s): Mitsos A, Georgakoulias N, Jenkins A

Publication type: Article

Publication status: Published

Journal: British Journal of Neurosurgery

Year: 2006

Volume: 20

Issue: 3

Pages: 161-165

ISSN (print): 0268-8697

ISSN (electronic): 1360-046X

Publisher: Informa Healthcare


DOI: 10.1080/02688690600777091


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