Young onset hemifacial spasm in patients with Chiari type I malformation

Young onset hemifacial spasm in patients with Chiari type I malformation

Author Felicio, Andre Carvalho Autor UNIFESP Google Scholar
Godeiro, Clecio de Autor UNIFESP Google Scholar
Borges, Vanderci Autor UNIFESP Google Scholar
Azevedo Silva, Sonia Maria de Autor UNIFESP Google Scholar
Ferraz, Henrique Ballalai Autor UNIFESP Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Abstract Hemifacial spasm (HFS) resulting from Chiari type I malformation (CIM) is rare. We retrospectively evaluated five patients with CIM and HFS among a series of 103 subjects. the frequency of HFS associated to CIM was of 4.85%. the clinical profile did not differ from the classical primary cases except for young-onset development of facial spasms in patients with CIM. Three patients were treated with BTX-A injections with favorable outcome. Although rare HFS may be associated with CIM especially in young subjects with peculiar phenotypic characteristics (short neck). Moreover, BTX may be an alternative to posterior fossa decompression in selected cases. (C) 2007 Elsevier B.V. All rights reserved.
Keywords hemifacial spasm
Chiari malformation
botulinum toxin
Language English
Date 2008-01-01
Published in Parkinsonism & Related Disorders. Oxford: Elsevier B.V., v. 14, n. 1, p. 66-68, 2008.
ISSN 1353-8020 (Sherpa/Romeo, impact factor)
Publisher Elsevier B.V.
Extent 66-68
Access rights Closed access
Type Article
Web of Science ID WOS:000253747700014

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