Hemifacial spasm and nervus intermedius neuralgia associated with hyperfunction and hypofunction of the nervus intermedius
Objective: We have reported a case of a patient with hemifacial spasm (HFS) and nervus intermedius neuralgia associated with hyperfunction and hypofunction of the nervus intermedius. Clinical presentation: A 60-year-old man presented with a 6.5-year history of pain around the left eyelid and dry mou...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2022-06-01
|
| Series: | Interdisciplinary Neurosurgery |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214751922000081 |
| _version_ | 1818157569739325440 |
|---|---|
| author | Yoshiyasu Iwai Hidetoshi Ikeda Toshiyuki Kawashima Kazuhiro Yamanaka |
| author_facet | Yoshiyasu Iwai Hidetoshi Ikeda Toshiyuki Kawashima Kazuhiro Yamanaka |
| author_sort | Yoshiyasu Iwai |
| collection | DOAJ |
| description | Objective: We have reported a case of a patient with hemifacial spasm (HFS) and nervus intermedius neuralgia associated with hyperfunction and hypofunction of the nervus intermedius. Clinical presentation: A 60-year-old man presented with a 6.5-year history of pain around the left eyelid and dry mouth. Three years prior, he noticed paroxysmal twitching of the left eyelid, and 1 year later, the spasm had extended to the entire left face. Simultaneously, he experienced left nose and left ear pain that was not aggravated by chewing, talking, or washing the face as well as nasal discharge. One year later, the facial spasms had aggregated. The patient was referred to our hospital for microvascular decompression (MVD) for HFS. Examination revealed normal findings, except severe HFS associated with slight left facial weakness. Three-dimensional magnetic resonance imaging (3D-MRI) showed neurovascular contact around the root exit zone (REZ) of the vestibulocochlear nerves by the posterior inferior cerebellar artery (PICA). MVD was performed via the left retrosigmoid approach, with interposition using a sponge made of urethane foam between the REZ of the facial nerve and PICA. The left nose and ear pain, dry eye, dry mouth, and nasal discharge were completely relieved 1 week after MVD. The HFS in the left face gradually improved and completely resolved 6 months after surgery. Conclusion: Although the association between HFS and nervus intermedius neuralgia has been previously reported, this is the first report of a case associated with symptoms of hyperfunction and hypofunction of the nervus intermedius successfully treated by MVD of the REZ of the seventh and eighth nerves. |
| first_indexed | 2024-12-11T15:16:17Z |
| format | Article |
| id | doaj.art-99ad9686da68418ea6578831f0fbb537 |
| institution | Directory Open Access Journal |
| issn | 2214-7519 |
| language | English |
| last_indexed | 2024-12-11T15:16:17Z |
| publishDate | 2022-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Interdisciplinary Neurosurgery |
| spelling | doaj.art-99ad9686da68418ea6578831f0fbb5372022-12-22T01:00:34ZengElsevierInterdisciplinary Neurosurgery2214-75192022-06-0128101494Hemifacial spasm and nervus intermedius neuralgia associated with hyperfunction and hypofunction of the nervus intermediusYoshiyasu Iwai0Hidetoshi Ikeda1Toshiyuki Kawashima2Kazuhiro Yamanaka3Corresponding author at: Department of Neurosurgery, Tominaga Hospital, 1-4-48, Minatomachi, Naniwa-ku, Osaka-City, Osaka 556-0017, Japan.; Department of Neurosurgery, Osaka City General Hospital, Osaka, JapanDepartment of Neurosurgery, Osaka City General Hospital, Osaka, JapanDepartment of Neurosurgery, Osaka City General Hospital, Osaka, JapanDepartment of Neurosurgery, Osaka City General Hospital, Osaka, JapanObjective: We have reported a case of a patient with hemifacial spasm (HFS) and nervus intermedius neuralgia associated with hyperfunction and hypofunction of the nervus intermedius. Clinical presentation: A 60-year-old man presented with a 6.5-year history of pain around the left eyelid and dry mouth. Three years prior, he noticed paroxysmal twitching of the left eyelid, and 1 year later, the spasm had extended to the entire left face. Simultaneously, he experienced left nose and left ear pain that was not aggravated by chewing, talking, or washing the face as well as nasal discharge. One year later, the facial spasms had aggregated. The patient was referred to our hospital for microvascular decompression (MVD) for HFS. Examination revealed normal findings, except severe HFS associated with slight left facial weakness. Three-dimensional magnetic resonance imaging (3D-MRI) showed neurovascular contact around the root exit zone (REZ) of the vestibulocochlear nerves by the posterior inferior cerebellar artery (PICA). MVD was performed via the left retrosigmoid approach, with interposition using a sponge made of urethane foam between the REZ of the facial nerve and PICA. The left nose and ear pain, dry eye, dry mouth, and nasal discharge were completely relieved 1 week after MVD. The HFS in the left face gradually improved and completely resolved 6 months after surgery. Conclusion: Although the association between HFS and nervus intermedius neuralgia has been previously reported, this is the first report of a case associated with symptoms of hyperfunction and hypofunction of the nervus intermedius successfully treated by MVD of the REZ of the seventh and eighth nerves.http://www.sciencedirect.com/science/article/pii/S2214751922000081Facial nerveNervus intermediusHemifacial spasmNervus intermedius neuralgiaMicrovascular decompression |
| spellingShingle | Yoshiyasu Iwai Hidetoshi Ikeda Toshiyuki Kawashima Kazuhiro Yamanaka Hemifacial spasm and nervus intermedius neuralgia associated with hyperfunction and hypofunction of the nervus intermedius Interdisciplinary Neurosurgery Facial nerve Nervus intermedius Hemifacial spasm Nervus intermedius neuralgia Microvascular decompression |
| title | Hemifacial spasm and nervus intermedius neuralgia associated with hyperfunction and hypofunction of the nervus intermedius |
| title_full | Hemifacial spasm and nervus intermedius neuralgia associated with hyperfunction and hypofunction of the nervus intermedius |
| title_fullStr | Hemifacial spasm and nervus intermedius neuralgia associated with hyperfunction and hypofunction of the nervus intermedius |
| title_full_unstemmed | Hemifacial spasm and nervus intermedius neuralgia associated with hyperfunction and hypofunction of the nervus intermedius |
| title_short | Hemifacial spasm and nervus intermedius neuralgia associated with hyperfunction and hypofunction of the nervus intermedius |
| title_sort | hemifacial spasm and nervus intermedius neuralgia associated with hyperfunction and hypofunction of the nervus intermedius |
| topic | Facial nerve Nervus intermedius Hemifacial spasm Nervus intermedius neuralgia Microvascular decompression |
| url | http://www.sciencedirect.com/science/article/pii/S2214751922000081 |
| work_keys_str_mv | AT yoshiyasuiwai hemifacialspasmandnervusintermediusneuralgiaassociatedwithhyperfunctionandhypofunctionofthenervusintermedius AT hidetoshiikeda hemifacialspasmandnervusintermediusneuralgiaassociatedwithhyperfunctionandhypofunctionofthenervusintermedius AT toshiyukikawashima hemifacialspasmandnervusintermediusneuralgiaassociatedwithhyperfunctionandhypofunctionofthenervusintermedius AT kazuhiroyamanaka hemifacialspasmandnervusintermediusneuralgiaassociatedwithhyperfunctionandhypofunctionofthenervusintermedius |