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Acta Neurochirurgica
Published in: Acta Neurochirurgica 9/2017

01-09-2017 | Case Report - Functional

Painful spasms in facial, masticatory, and motor ocular muscles reversed after microvascular decompression of a neurovascular conflict at brainstem

Authors: Tania-Mihaela Idriceanu, Marc Sindou

Published in: Acta Neurochirurgica | Issue 9/2017

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Abstract

The authors present a case of a 42-year-old female admitted for disabling complex and atypical bilateral facial spasms associated with painful masticatory and motor ocular dystonic movements, difficult to fit in the definition of any known cranio-facial dyskinesias. MRI showed a left PICA loop invaginated into the brainstem, considered responsible of an hyperactive disorder of the brainstem nuclei neighboring the conflict. After microvascular decompression, the patient made a full recovery with complete disappearance of the paroxystic phenomena. Such a type of image should be searched for, in an intra-axial brainstem location, in the absence of conflict in the cistern at root entry/exit zone (REZ).
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Metadata
Title
Painful spasms in facial, masticatory, and motor ocular muscles reversed after microvascular decompression of a neurovascular conflict at brainstem
Authors
Tania-Mihaela Idriceanu
Marc Sindou
Publication date
01-09-2017
Publisher
Springer Vienna
Published in
Acta Neurochirurgica / Issue 9/2017
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI
https://doi.org/10.1007/s00701-017-3258-1

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