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Hemifacial Spasm as a Feature of Chiari Malformation: Case Report

Lookup NU author(s): Dr Peter Newman

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Abstract

BACKGROUND AND IMPORTANCE: Hemifacial spasm has rarely been described as one of the presenting features of Chiari I malformation. We present a case in which we found an association between the two in the absence of a basilar impression. CLINICAL PRESENTATION: A case of a 39-year-old man who presented with a disabling hemifacial spasm and was found to have Chiari I malformation as the possible cause is described. A foramen magnum decompression successfully relieved the hemifacial spasm. The patient remains symptom free at 20 months after the operation. CONCLUSION: Neurosurgeons may want to consider foramen magnum decompression as first-line surgical treatment for hemifacial spasm when it coexists with Chiari I malformation. Chiari I malformation should be considered one of the rare causes of hemifacial spasm.

Publication metadata

Author(s): Mukerji N, Newman P, Nath FP

Publication type: Article

Publication status: Published

Journal: Neurosurgery

Year: 2010

Volume: 67

Issue: 6

Pages: E1826-E1830

Print publication date: 01/12/2010

ISSN (print): 0148-396X

ISSN (electronic): 1524-4040

Publisher: Lippincott Williams & Wilkins

URL: http://dx.doi.org/10.1227/NEU.0b013e3181fa24dc1227

DOI: 10.1227/NEU.0b013e3181fa24dc

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