Bilateral hemifacial spasm: A report of five cases and a literature review
Identifieur interne : 004E04 ( Main/Exploration ); précédent : 004E03; suivant : 004E05Bilateral hemifacial spasm: A report of five cases and a literature review
Auteurs : E. K. Tan [États-Unis] ; Joseph Jankovic [États-Unis]Source :
- Movement Disorders [ 0885-3185 ] ; 1999-03.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Homme.
English descriptors
- KwdEn :
- Aged, Aged, 80 and over, Bibliographic survey, Bilateral, Botulinum Toxins (therapeutic use), Botulinum toxin, Case study, Diagnosis, Disease Progression, Dystonia, Electromyography, Female, Hemifacial Spasm (drug therapy), Hemifacial Spasm (etiology), Hemifacial Spasm (physiopathology), Hemifacial spasm, Human, Humans, Male, Middle Aged, Neuromuscular Agents (therapeutic use), Symptomatology, Tics, Vertebrobasilar arteries.
- MESH :
- chemical , therapeutic use : Botulinum Toxins, Neuromuscular Agents.
- drug therapy : Hemifacial Spasm.
- etiology : Hemifacial Spasm.
- physiopathology : Hemifacial Spasm.
- Aged, Aged, 80 and over, Disease Progression, Female, Humans, Male, Middle Aged.
Abstract
We describe five patients with bilateral hemifacial spasm evaluated in a Movement Disorders Clinic to illustrate the clinical characteristics and to draw attention to the differential diagnosis of this condition. All patients had unilateral onset followed by bilateral, asymmetric, and asynchronous facial contractions. The mean age of the patients (4 women and 1 man) was 70.6 years (range, 54–81 yrs), and the mean duration of symptoms was 17 years (range, 2–30 yrs). The facial twitching started in the left eyelid in all cases and the opposite side of the face began to twitch on the average 8.4 years (range, 0.2–15 yrs) later. Imaging studies revealed tortuous vertebrobasilar arteries in three patients. Four patients were successfully treated with botulinum toxin injections. Bilateral hemifacial spasm is a rare, peripherally induced disorder that must be differentiated from tics, dystonia including blepharospasm and other cranial dystonia, and other facial dyskinesias. Botulinum toxin injection appears to be the treatment of choice.
Url:
DOI: 10.1002/1531-8257(199903)14:2<345::AID-MDS1023>3.0.CO;2-1
Affiliations:
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Le document en format XML
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Disord.</title><idno type="ISSN">0885-3185</idno><idno type="eISSN">1531-8257</idno><imprint><publisher>John Wiley & Sons, Inc.</publisher><pubPlace>New York</pubPlace><date type="published" when="1999-03">1999-03</date><biblScope unit="vol">14</biblScope><biblScope unit="issue">2</biblScope><biblScope unit="page" from="345">345</biblScope><biblScope unit="page" to="349">349</biblScope></imprint><idno type="ISSN">0885-3185</idno></series><idno type="istex">7D8A940348BA3881CE66BB662149D97A7283B7FA</idno><idno type="DOI">10.1002/1531-8257(199903)14:2<345::AID-MDS1023>3.0.CO;2-1</idno><idno type="ArticleID">MDS1023</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Aged, 80 and over</term><term>Bibliographic survey</term><term>Bilateral</term><term>Botulinum Toxins (therapeutic use)</term><term>Botulinum toxin</term><term>Case study</term><term>Diagnosis</term><term>Disease Progression</term><term>Dystonia</term><term>Electromyography</term><term>Female</term><term>Hemifacial Spasm (drug therapy)</term><term>Hemifacial Spasm (etiology)</term><term>Hemifacial Spasm (physiopathology)</term><term>Hemifacial spasm</term><term>Human</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Neuromuscular Agents (therapeutic use)</term><term>Symptomatology</term><term>Tics</term><term>Vertebrobasilar arteries</term></keywords><keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Botulinum Toxins</term><term>Neuromuscular Agents</term></keywords><keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>Hemifacial Spasm</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Hemifacial Spasm</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Hemifacial Spasm</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Aged, 80 and over</term><term>Disease Progression</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Bilatéral</term><term>Diagnostic</term><term>Electromyographie</term><term>Etude cas</term><term>Homme</term><term>Hémispasme facial</term><term>Symptomatologie</term><term>Synthèse bibliographique</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Homme</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">We describe five patients with bilateral hemifacial spasm evaluated in a Movement Disorders Clinic to illustrate the clinical characteristics and to draw attention to the differential diagnosis of this condition. All patients had unilateral onset followed by bilateral, asymmetric, and asynchronous facial contractions. The mean age of the patients (4 women and 1 man) was 70.6 years (range, 54–81 yrs), and the mean duration of symptoms was 17 years (range, 2–30 yrs). The facial twitching started in the left eyelid in all cases and the opposite side of the face began to twitch on the average 8.4 years (range, 0.2–15 yrs) later. Imaging studies revealed tortuous vertebrobasilar arteries in three patients. Four patients were successfully treated with botulinum toxin injections. Bilateral hemifacial spasm is a rare, peripherally induced disorder that must be differentiated from tics, dystonia including blepharospasm and other cranial dystonia, and other facial dyskinesias. Botulinum toxin injection appears to be the treatment of choice.</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Texas</li></region><settlement><li>Houston</li></settlement><orgName><li>Baylor College of Medicine</li></orgName></list><tree><country name="États-Unis"><region name="Texas"><name sortKey="Tan, E K" sort="Tan, E K" uniqKey="Tan E" first="E. K." last="Tan">E. K. Tan</name></region><name sortKey="Jankovic, Joseph" sort="Jankovic, Joseph" uniqKey="Jankovic J" first="Joseph" last="Jankovic">Joseph Jankovic</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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