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Acta Neurologica Belgica https://doi.org/10.1007/s13760-023-02229-7 NEURO-IM AGES Independent episodes of vestibular paroxysmia and hemifacial spasm duo to a distorted vertebral artery in one patient 1 2 3 1 1 Jiaqi Li · Shuaiding Yang · Qichang Fu · Haiyang Luo · Yuming Xu Received: 6 January 2023 / Accepted: 23 February 2023 © The Author(s) under exclusive licence to Belgian Neurological Society 2023 Keywords Vestibular paroxysmia · Hemifacial spasm · Transition zone · MRI A 56-year-old woman presented with a 3-year history of nerve and vertebral artery, separated by Teflon felt (Sup paroxysmal right facial spasms and 1-year paroxysmal epi- Fig. 1). sodes of vertigo. The episodes of vertigo and hemifacial The vestibulocochlear nerve and facial nerve enter the spasm were not interdependent, neither simultaneous nor brainstem in close proximity and share the arterial supply sequential. She failed conservative medical management in the pontine cistern [1]. Several studies have described including flunarizine, topiramate, and betahistine mesilate in the cases of patients who simultaneously presented with the local hospital. After admission to our hospital, magnetic hemifacial spasm and vestibular paroxysmia caused by the resonance imaging (MRI) was ordered and found the tortu- pulsatile compression of both cranial nerves [2, 3]. The two osity of the vertebrobasilar arterial system, which presented symptoms were clearly correlated and
Acta Neurologica Belgica – Springer Journals
Published: Apr 25, 2023
Keywords: Vestibular paroxysmia; Hemifacial spasm; Transition zone; MRI
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