Hemifacial Spasm due to Compression of the Posterior Inferior Cerebellar Artery Aneurysm Treated with Botulinum Toxin Type-A: A Case Report

A 79-year-old female presented with five months history of progressive involuntary twitching movement on left face. Brain MR imaging revealed a heterogeneous T2 hyperintense lesion at left cerebellopontine angle. CT angiography showed a partially thrombosed saccular aneurysm of left PICA (posterior...

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Main Authors: Azize Esra Gürsoy, Gülsen Babacan Yildiz, Adam Mehmet Gülhan, Mehmet Kolukisa
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Case Reports in Neurological Medicine
Online Access:http://dx.doi.org/10.1155/2012/132594
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author Azize Esra Gürsoy
Gülsen Babacan Yildiz
Adam Mehmet Gülhan
Mehmet Kolukisa
author_facet Azize Esra Gürsoy
Gülsen Babacan Yildiz
Adam Mehmet Gülhan
Mehmet Kolukisa
author_sort Azize Esra Gürsoy
collection DOAJ
description A 79-year-old female presented with five months history of progressive involuntary twitching movement on left face. Brain MR imaging revealed a heterogeneous T2 hyperintense lesion at left cerebellopontine angle. CT angiography showed a partially thrombosed saccular aneurysm of left PICA (posterior inferior cerebellar artery). The patient was treated with Botulinum toxin type A and almost total relief of symptoms was noticed during one month followup. Botulinium toxin injection is an effective symptomatic treatment option in nonsurgical secondary hemifacial spasm (HFS) cases.
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institution Kabale University
issn 2090-6668
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language English
publishDate 2012-01-01
publisher Wiley
record_format Article
series Case Reports in Neurological Medicine
spelling doaj-art-8b8b19dc7d034cab96ae0a794078529d2025-02-03T05:46:45ZengWileyCase Reports in Neurological Medicine2090-66682090-66762012-01-01201210.1155/2012/132594132594Hemifacial Spasm due to Compression of the Posterior Inferior Cerebellar Artery Aneurysm Treated with Botulinum Toxin Type-A: A Case ReportAzize Esra Gürsoy0Gülsen Babacan Yildiz1Adam Mehmet Gülhan2Mehmet Kolukisa3Department of Neurology, Medical Faculty, Bezmialem Vakif University, Istanbul, Vatan Caddesi 34093 Fatih, TurkeyDepartment of Neurology, Medical Faculty, Bezmialem Vakif University, Istanbul, Vatan Caddesi 34093 Fatih, TurkeyNeurology Department, Sentara Health System, Norfolka, VA 23502, USADepartment of Neurology, Medical Faculty, Bezmialem Vakif University, Istanbul, Vatan Caddesi 34093 Fatih, TurkeyA 79-year-old female presented with five months history of progressive involuntary twitching movement on left face. Brain MR imaging revealed a heterogeneous T2 hyperintense lesion at left cerebellopontine angle. CT angiography showed a partially thrombosed saccular aneurysm of left PICA (posterior inferior cerebellar artery). The patient was treated with Botulinum toxin type A and almost total relief of symptoms was noticed during one month followup. Botulinium toxin injection is an effective symptomatic treatment option in nonsurgical secondary hemifacial spasm (HFS) cases.http://dx.doi.org/10.1155/2012/132594
spellingShingle Azize Esra Gürsoy
Gülsen Babacan Yildiz
Adam Mehmet Gülhan
Mehmet Kolukisa
Hemifacial Spasm due to Compression of the Posterior Inferior Cerebellar Artery Aneurysm Treated with Botulinum Toxin Type-A: A Case Report
Case Reports in Neurological Medicine
title Hemifacial Spasm due to Compression of the Posterior Inferior Cerebellar Artery Aneurysm Treated with Botulinum Toxin Type-A: A Case Report
title_full Hemifacial Spasm due to Compression of the Posterior Inferior Cerebellar Artery Aneurysm Treated with Botulinum Toxin Type-A: A Case Report
title_fullStr Hemifacial Spasm due to Compression of the Posterior Inferior Cerebellar Artery Aneurysm Treated with Botulinum Toxin Type-A: A Case Report
title_full_unstemmed Hemifacial Spasm due to Compression of the Posterior Inferior Cerebellar Artery Aneurysm Treated with Botulinum Toxin Type-A: A Case Report
title_short Hemifacial Spasm due to Compression of the Posterior Inferior Cerebellar Artery Aneurysm Treated with Botulinum Toxin Type-A: A Case Report
title_sort hemifacial spasm due to compression of the posterior inferior cerebellar artery aneurysm treated with botulinum toxin type a a case report
url http://dx.doi.org/10.1155/2012/132594
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