Abstract
Magnetic resonance angiography (MRA), combined with submillimeter magnetic resonance tomographic angiographic sections (MRTA) showed vascular compression of the 7th cranial nerve or its root exit zone (REZ) in the brain stem in 24 of 37 patients (64.86%) with hemifacial spasm. MRA alone was positive for REZ compression in only 19 (51.4%) cases, while conventional MRI was even less revealing, only 10 (27%) cases being positive.
Similar content being viewed by others
References
Anderson CM, Saloner D, Tsuruda JS et al (1990) Artifacts in maximum-intensity-projection display of MR angiograms. AJR 254: 623–629
Laub GA, Kaiser WA (1988) MR angiography with gradient motion refocusing. J Comput Assist Tomogr 12: 377–382
Eckman PB, Kramer RA, Altrocchi PH (1971) Hemifacial spasm. Arch Neurol 25: 81–87
Ehni G, Woltman HW (1945) Hemifacial spasm: review of one hundred and six cases. Arch Neurol Psychiatry 53: 205–211
Holds JB, Anderson RL, Jordan DR, et al (1990) Bilateral hemifacial spasm. J Clin Neuro Ophthalmol 10: 153–154
Carter JB, Patrinely JR, Jankovic J et al (1990) Familial hemifacial spasm. Arch Ophthalmol 108: 249–250
Coad JE, Wirtschafter JD, Haines SJ, et al (1991) Familial hemifacial spasm associated with arterial compression of the facial nerve: case report. J Neurosurg 74: 290–296
Friedman A, Jamrozik Z, Bojakowski J (1989) Familial hemifacial spasm. Mov Disord 4: 213–218
Maroon JC, Lunsford LD, Deeb ZL (1978) Hemifacial spasm due to aneurysmal compression of the facial nerve. Arch Neurol 35: 545–546
Auger RG, Piepgras DG (1989) Hemifacial spasm associated with epidermoid tumors of the cerebellopontine angle. Neurology 39: 577–580
Gagliardi FM, Vagnozzi R, Caruso R, et al (1980) Epidermoid of the cerebellopontine angle (CPA): usefulness of CT scan. Acta Neurochir (Wien) 54: 271–281
Miyazaki S, Fukushima T (1983) CP angle epidermoid presenting as hemifacial spasm [English abstract]. No to Shinkei 35: 951–955
Otsuna S, Nakatsu S, Matsumoto S, et al (1989) Epidermoid tumor presenting with trigeminal neuralgia and ipsilateral hemifacial spasm: a case report. Nippon-Geka-Hokan 58: 245:249
Levin JM, Lee JE (1987) Hemifacial spasm due to cerebellopontine angle lipoma: case report. Neurology 37: 337–339
Loeser JD, Chen J (1983) Hemifacial spasm: treatment by microsurgical facial nerve decompression. Neurosurgery 13: 141–146
Pierry A, Cameron M (1979) Clonic hemifacial spasm from posterior fossa arteriovenous malformation. J Neurol Neurosurg Psychiatry 42: 670–672
Savino PJ, Maus M (1991) Botulinum toxin therapy. Neurol Clin 9: 205–224
Sprik C, Wirtschafter JD (1988) Hemifacial spasm due to intracranial tumor: an international survey of botulinum toxin investigators. Ophthalmology 95: 1042–1045
Dujovni M, Osgord CP, Faille R, et al (1979) Posterior fossa AVM producing hemifacial spasm: a case report. Angiology 30: 425–432
Silbert MU, Sanjok BA, Earnest P (1987) Vascular malformations of the posterior fossa. Clinical and radiologic features. Arch Neurol 44: 965–969
Tokimura H, Atsuchi M, Todoroki K, et al (1988) A case of cerebellar arteriovenous malformation with hemifacial spasm at onset [English abstract]. No-Shinkei-Geka 16: 769–773
Yang PJ, Higashida RT, Van Halbach V, et al (1989) Intravascular embolization of a cerebellar arterovenous malformation for treatment of hemifacial spasm. AJNR 10: 403–405
Digre K, Corbett JJ (1988) Hemifacial spasm: differential diagnosis, mechanism and treatment. Adv Neurol 49: 151–176
Ambrosetto P, Forlani S (1988) Lacunar pontine infarction presenting as isolated facial spasm (letter). Stroke 19: 784–785
Kawakami M, Sato T, Tochigi S, et al (1990) Lacunar pontine infarction with hemifacial spasm as the initial symptom (letter). Stroke 21: 1236
Gardner WJ, Sava GA (1962) Hemifacial spasm: a reversible pathophysiologic state. J Neurosurg 19: 240–247
Jannetta PJ, Abbasy M, Maroon JC, et al (1977) Etiology and definite microsurgical treatment of hemifacial spasm: operative techniques and results in 47 patients. J Neurosurg 47: 321–328
Adams CB (1988) Microvascular compression: an alternative view and hypothesis. Neurosurgery 70: 1–12. See comment in J Neurosurg 1989; 71: 459–464
Jannetta PJ (1980) Neurovascular compression in cranial nerve and systemic disease. Ann Surg 192: 518–525
Digre KB, Corbett JJ, Smoker WRK, et al (1988) CT in hemifacial spasm. Neurology 38: 111–113
Tash RR, Kier EL, Chyatte D (1988) Hemifacial spasm caused by a tortuous vertebral artery: MR demonstration. J Comput Assist Tomogr 12: 492–494
Birbamer G, Felber S, Poewe W, et al (1990) MR angiography —a new noninvasive approach in diagnosis of hemifacial spasm. Mov Disord 5 (suppl 1): 69
Deleted
Von Eichhorn M (1990) Ursachen für die Entstehung von Variationen in Verlauf der Arteria vertebralis und der Arteria basilaris. [English abstract] Gogenbaurs Morphol Jahrb 136: 127–134
Marchal G, Bosmans H, Van Fraeyenhoven L, et al (1990) Intracranial vascular lesions: optimization and clinical evaluation of three-dimensional time-of-flight MR angiography. Radiology 175: 443–448
Ross JS, Masaryk TJ, Modic MT, et al (1989) Magnetic resonance angiogrpahy of the extracranial carotid arteries and intracranial vessels: a review. Neurology 39: 1369–1376
Keller PJ, Drayer BP, Fram EK, et al (1989) MR angiography with two-dimensional acquisition and three-dimensional display. Radiology 173: 527–532
Jannetta PJ (1987) Hemifacial spasm resolution without vascular decompression (letter). Neurosurgery 20: 83
Auger RG, Piepgras DG, Laws ER (1986) Hemifacial spasm: results of microvascular decompression of the facial nerve in 54 patients. Mayo Clinic Proc 61: 640–644
Calbucci F, Tognetti F, Bollini C, et al (1986) Intracranial microvascular decompression for “cryptogenic” hemifacial spasm, trigeminal and glossopharyngeal neuralgia, paroxysmal vertigo and tinnitus: 1. Surgical technique and results. Ital J Neurol Sci 7: 359–366
Fabinyi GCA, Adams CBT (1978) Hemifacial spasm: treatment by posterior fossa surgery. J Neurol Neurosorg Psychiatry 41: 829–833
Fairholm D, Wu JM, Liu KN (1983) Hemifacial spasm: results of mcirovascular relocation. Can J Neurol Sci 10: 187–191
Jannetta PJ (1981) Hemifacial spasm in the cranial nerves: anatomy, pathology, pathophysiology, diagnosis, treatment. In: Samii M, Jannetta PJ (eds) Springer-Verlag, New York, pp 484–493
Kim P, Fakushina T (1984) Observations on synkinesis in patients with hemifacial spasm: effect of microvascular decompression and etiological considerations. J Neurosurg 60: 821–827
Neagoy DR, Dohn DF (1974) Hemifacial spasm secondary to vascular compression of the facial nerve. Cleve Clin Q 41: 205–214
Nielsen VK, Jannetta PS (1984) Pathophysiology of hemifacial spasm: effects of facial nerve decompression. Neurology 34: 891–897
Panagopoulos K, Chakraborty M, Deopujari CE, et al (1987) Neurovascular decompression for cranial rhizopathies. Br J Neurosurg 1: 235–241
Piatt JH Jr, Wilkins RH (1984) Treatment of tic douloureux and hemifacial spasm by posterior fossa exploration: therapeutic inplications of various neurovascular relationship. Neurosurgery 14: 462–471
Wilson CB, Yorke C, Prioleau G (1980) Microsurgical vascular decompression for trigeminal neuralgia and hemifacial spasm. West J Med 132: 481–484
Matsushima T, Inoue T, Fukui M (1990) Arteries in contact with the cisternal portion of the facial nerve in autopsy cases: microsurgical anatomy of neurovascular decompression surgery of hemifacial spasm. Surg Neurol 36: 87–93
Baba T, Matsushima T, Fukui M, et al (1988) Relationship between angiographical manifestations and operative findings in 100 cases of hemifacial spasm. Neurol Surg 16: 1355–1362
Carlos R, Fukui M, Hasuo K, et al (1986) Radiological analysis of hemifacial spasm with special reference to angiographic manifestations. Neuroradiology 28: 288–295
Jannetta PJ (1985) Posterior fossa neurovascular compression syndromes other than neuralgias. In: Wilkins RH Regachary SS (eds) Neurosurgery, vol 2. McGraw-Hill, New York, pp 1902–1906
Kondo A, Ishikawa J, Yamasaki T, et al (1980) Microvascular decompression of cranial nerves, particularly of the 7th cranial nerve. Neuro Med Chir (Tokyo) 20: 739–751
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Bernardi, B., Zimmerman, R.A., Savino, P.J. et al. Magnetic resonance tomographic angiography in the investigation of hemifacial spasm. Neuroradiology 35, 606–611 (1993). https://doi.org/10.1007/BF00588406
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF00588406