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Hemifacial spasm associated with external carotid artery compression of the facial nerve

Published online by Cambridge University Press:  29 June 2007

Yoseph Rakover ,
Muralee Dharan  and
Gabriel Rosen
Yoseph Rakover*
Affiliation:
Department of Otorhinolaryngology, Central Emek Hospital, Afula, Israel
Muralee Dharan
Affiliation:
Department of Pathology, Central Emek Hospital, Afula, Israel
Gabriel Rosen
Affiliation:
Department of Otorhinolaryngology, Central Emek Hospital, Afula, Israel
*
Address for correspondence: Yoseph Rakover, Department of Otorhinolaryngology, Central Emek Hospital, Afula, Israel.
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Abstract

We report a unique case of hemifacial spasm due to compression of the facial nerve by the main trunk of the external carotid artery within the parotid space. Decompression of the facial nerve as well as partial section of the proximal trunk of the nerve, caused the hemifacial spasm to disappear.

Our case gives support to the theory that hemifacial spasm can be caused by pressure on the facial nerve along all its course and not only in its intra-cranial portion.

Keywords

Facial nerveHemifacial spasm
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 110 , Issue 11 , November 1996 , pp. 1081 - 1083
Copyright
Copyright © JLO (1984) Limited 1996

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