Surgical management of coexisting trigeminal neuralgia and hemifacial spasm

Muhammad, Sajjad; Niemelä, Mika

doi:10.4103/sni.sni_188_18

Cited by 7 publications

(4 citation statements)

References 22 publications

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“…As we all know, HFS is a common cranial nerve disease, mainly manifested as involuntary convulsion of muscles innervated by facial nerve, the spasm could be provoked by mini stimulus, such as touching and light [4,18]. Studies have shown that HFS generally involves only unilateral face, mostly on the left side [5,24], and a few involves bilaterally or accompanied with other cranial nerve diseases, such as trigeminal neuralgia or glossopharyngeal neuralgia [25,26].…”

Section: Discussionmentioning

confidence: 99%

Child-onset Hemifacial Spasm-a case report

Sun

Liu

et al. 2021

Preprint

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BackgroundHemifacial spasm (HFS) is a common cranial nerve disease, with peak onset in the forty to sixty years old and child-onset HFS is rare. HFS brings many negative effects on the physical and mental health of patients. Here, we report a 10-year-old case of primary HFS patient.Case PresentationHere we report an 11-year-old HFS case last for more than 1 year. An 11-year-old girl complained of frequently involuntary twitch in lower eyelid as the girl was 10 years old, then symptom worsen gradually involved right upper lip in recently months. The girl’s daily life was badly influenced. Brain magnetic resonance imaging indicated that AICA compressed right facial nerve. The patient was treated with carbamazepine 200mg per day, and symptom gradually relieve. But bad treatment compliance appeared, and we introduced the advantages and disadvantages of botulinum toxin and MVD to her parents. However, considering the young age, above mentioned options are not considered for the time being. And more observations of medications treatment were needed to guide further treatment.ConclusionChild-onset hemifacial spasm is rare and the case we report is one of the youngest known cases of such disease. For such patients, medication is the first choice, but the exact mechanisms remain to be further explored.

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Section: Discussionmentioning

confidence: 99%

Child-onset Hemifacial Spasm-a case report

Sun

Liu

et al. 2021

Preprint

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“…[ 1 2 8 9 10 11 12 ] Most reported studies and literature had shown a satisfactory outcome, low complication, and low recurrence rate with this procedure in all age groups. [ 1 2 4 13 14 15 ] Some complications from MVD have been reported and the most common is transient hypoesthesia, followed by hearing loss, facial palsy, cerebellar hematoma, supratentorial subdural hemorrhage, cerebrospinal fluid leak, and meningitis. [ 16 17 18 19 ] In this case, this patient only suffered postoperative transient hypoesthesia over the right half of the face and resolved spontaneously in postoperative day 3.…”

Section: Discussionmentioning

confidence: 99%

A rare combined trigeminal neuralgia with hemifacial spasm in a 78-year-old male patient

2021

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This case reported a 78-year-old male patient presented with combined trigeminal neuralgia and hemifacial spasm, which is a rare finding and seldom addressed. Magnetic resonance imaging examination showed compression of right N.V by the right superior cerebellar artery (SCA) but did not prove any compression on the right N.VII. This patient is treated with microvascular decompression, and we found out compression of right N.V by right SCA and N.VII from the right anterior inferior cerebellar artery. Postoperatively, the symptoms were resolved with transient hypoesthesia and no recurrence after 1-year follow-up.

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“…2). Patients combined with other cranial nerve diseases such as glossopharyngeal neuralgia or hemifacial spasm [ 20 – 22 ]. 3).…”

Section: Methodsmentioning

confidence: 99%

Correlation study between multiplanar reconstruction trigeminal nerve angulation and trigeminal neuralgia

Sun

Huang

et al. 2022

BMC Neurol

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Objectives Neurovascular compression (NVC) produces morphological changes on the trigeminal nerve root is considered the cause of trigeminal neuralgia (TN), but there were some patients with TN found no NVC, and also NVC was found in asymptomatic individuals. Many studies found tight relationships of TN and morphological structures of trigeminal nerve. We designed this study to explore the correlation between multiplanar reconstruction (MPR) trigeminal nerve angulation (TNA) and TN. Methods Patients with classical symptoms of TN were recruited as observation group (OG) in this study, 50 healthy controls were enrolled as control group (CG), the OG was further subtyped into young patients (YP), middle-aged patients (MP) and old patients (OP) based to the onset age of symptoms, and also divided into patients with or without trigger maneuvers (TM) based on the presence of TM or not. All the participants underwent magnetic resonance (MR) examinations in same device, bilateral TNA measurements were carried out in OG and CG, then TNA was compared between different groups or subgroups. All images were interpreted by two radiologists who were blinded to the study, diagnosis of TN was made by two senior neurosurgery professors. Result Ultimately, 95 patients with primary TN were recruited in OG, aged from 25 to 84 (61.15 ± 12.70) years with a course of 0.5 to 30 (5.03 ± 5.41) years, their onset age ranged from 24 to 82 (56.13 ± 11.98) years. There were 34 males and 61 females in OG, and 58 cases involved right side. The CG aged from 22 to 85 (61.86 ± 13.03) years. No statistical difference was found between the age of OG and CG(p = 0.76), and also the bilateral TNA of CG (154.92 ± 16.90° vs 155.55 ± 17.03°, p > 0.05), while TNA of OG was significantly smaller than CG (150.78 ± 11.29° vs 155.24 ± 16.88°, p = 0.019). In OG, TNA on the affected side was significantly smaller than the unaffected side (149.29 ± 12.44° vs 152.27 ± 9.85°, p = 0.014). TNA showed a positive correlation with onset age of patients with TN, as TNA on the affected side of YP was significantly smaller than MP and OP (139.00 ± 11.64° vs 148.86 ± 11.54°, 139.00 ± 11.64° vs 152.18 ± 12.61°, p = 0.004 and 0.026). Furthermore, patients with TM showed smaller TNA than those without TM (147.05 ± 11.30° vs 164.75 ± 8.39°, p < 0.001). Conclusions This study suggested that TNA might play a role in TN, small TNA could be a risk factor of TN. Furthermore, patients with small TNA are more likely to combine with TM, but more studies are needed to explore the exact role of TNA in TN.

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Surgical management of coexisting trigeminal neuralgia and hemifacial spasm

Cited by 7 publications

References 22 publications

Child-onset Hemifacial Spasm-a case report

Child-onset Hemifacial Spasm-a case report

A rare combined trigeminal neuralgia with hemifacial spasm in a 78-year-old male patient

Correlation study between multiplanar reconstruction trigeminal nerve angulation and trigeminal neuralgia

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