Treatment of hemimasticatory spasm secondary to parry-romberg syndrome via partial resection of the trigeminal nerve motor branch under intraoperative neurophysiological monitoring: A case report and literature review

Parry-Romberg syndrome (PRS) combined with hemimasticatory spasm (HMS) is a rare craniofacial disorder characterized by unilateral facial tissue atrophy with paroxysmal involuntary contractions of the jaw-closing muscles. Although a majority believe that this is a result of demyelination changes fro...

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Main Authors: Haitong Xu, Bin Xu, Xianjian Huang, Doudou Zhang, Xiaodong Cai
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-04-01
Series:Frontiers in Surgery
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fsurg.2023.1146163/full
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author Haitong Xu
Haitong Xu
Bin Xu
Bin Xu
Xianjian Huang
Xianjian Huang
Doudou Zhang
Doudou Zhang
Xiaodong Cai
Xiaodong Cai
author_facet Haitong Xu
Haitong Xu
Bin Xu
Bin Xu
Xianjian Huang
Xianjian Huang
Doudou Zhang
Doudou Zhang
Xiaodong Cai
Xiaodong Cai
author_sort Haitong Xu
collection DOAJ
description Parry-Romberg syndrome (PRS) combined with hemimasticatory spasm (HMS) is a rare craniofacial disorder characterized by unilateral facial tissue atrophy with paroxysmal involuntary contractions of the jaw-closing muscles. Although a majority believe that this is a result of demyelination changes from the effect of the facial involvement of PRS on the trigeminal nerve motor branches, the mechanism of PRS is presently unclear. Moreover, the therapeutic effects of existing drugs that target PRS have not been satisfactory. For intolerable spasms of the masticatory muscles, botulinum toxin injection may temporarily relieve the symptoms of spasms. We report a case of HMS secondary to PRS that was treated via a partial resection of the trigeminal nerve motor branch under intraoperative neurophysiological monitoring.
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spelling doaj.art-d5b3c36a0c7445daa9a0a24fdc79adbe2023-04-20T05:53:29ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2023-04-011010.3389/fsurg.2023.11461631146163Treatment of hemimasticatory spasm secondary to parry-romberg syndrome via partial resection of the trigeminal nerve motor branch under intraoperative neurophysiological monitoring: A case report and literature reviewHaitong Xu0Haitong Xu1Bin Xu2Bin Xu3Xianjian Huang4Xianjian Huang5Doudou Zhang6Doudou Zhang7Xiaodong Cai8Xiaodong Cai9Department of Neurosurgery, Shenzhen Second People's Hospital, The First Affiliated Hospital of Shenzhen University, Shenzhen, ChinaGraduate School, Guangzhou Medical University, Guangzhou, ChinaDepartment of Neurosurgery, Shenzhen Second People's Hospital, The First Affiliated Hospital of Shenzhen University, Shenzhen, ChinaSchool of Medicine, Shenzhen University School of Medicine, Shenzhen, ChinaDepartment of Neurosurgery, Shenzhen Second People's Hospital, The First Affiliated Hospital of Shenzhen University, Shenzhen, ChinaSchool of Medicine, Shenzhen University School of Medicine, Shenzhen, ChinaDepartment of Neurosurgery, Shenzhen Second People's Hospital, The First Affiliated Hospital of Shenzhen University, Shenzhen, ChinaSchool of Medicine, Shenzhen University School of Medicine, Shenzhen, ChinaDepartment of Neurosurgery, Shenzhen Second People's Hospital, The First Affiliated Hospital of Shenzhen University, Shenzhen, ChinaSchool of Medicine, Shenzhen University School of Medicine, Shenzhen, ChinaParry-Romberg syndrome (PRS) combined with hemimasticatory spasm (HMS) is a rare craniofacial disorder characterized by unilateral facial tissue atrophy with paroxysmal involuntary contractions of the jaw-closing muscles. Although a majority believe that this is a result of demyelination changes from the effect of the facial involvement of PRS on the trigeminal nerve motor branches, the mechanism of PRS is presently unclear. Moreover, the therapeutic effects of existing drugs that target PRS have not been satisfactory. For intolerable spasms of the masticatory muscles, botulinum toxin injection may temporarily relieve the symptoms of spasms. We report a case of HMS secondary to PRS that was treated via a partial resection of the trigeminal nerve motor branch under intraoperative neurophysiological monitoring.https://www.frontiersin.org/articles/10.3389/fsurg.2023.1146163/fullparry-Romberg syndrome (PRS)hemimasticatory spasmpartial resection of the trigeminal nerve motor branchmasticatory musclesspasmsintraoperative neurophysiological monitoring
spellingShingle Haitong Xu
Haitong Xu
Bin Xu
Bin Xu
Xianjian Huang
Xianjian Huang
Doudou Zhang
Doudou Zhang
Xiaodong Cai
Xiaodong Cai
Treatment of hemimasticatory spasm secondary to parry-romberg syndrome via partial resection of the trigeminal nerve motor branch under intraoperative neurophysiological monitoring: A case report and literature review
Frontiers in Surgery
parry-Romberg syndrome (PRS)
hemimasticatory spasm
partial resection of the trigeminal nerve motor branch
masticatory muscles
spasms
intraoperative neurophysiological monitoring
title Treatment of hemimasticatory spasm secondary to parry-romberg syndrome via partial resection of the trigeminal nerve motor branch under intraoperative neurophysiological monitoring: A case report and literature review
title_full Treatment of hemimasticatory spasm secondary to parry-romberg syndrome via partial resection of the trigeminal nerve motor branch under intraoperative neurophysiological monitoring: A case report and literature review
title_fullStr Treatment of hemimasticatory spasm secondary to parry-romberg syndrome via partial resection of the trigeminal nerve motor branch under intraoperative neurophysiological monitoring: A case report and literature review
title_full_unstemmed Treatment of hemimasticatory spasm secondary to parry-romberg syndrome via partial resection of the trigeminal nerve motor branch under intraoperative neurophysiological monitoring: A case report and literature review
title_short Treatment of hemimasticatory spasm secondary to parry-romberg syndrome via partial resection of the trigeminal nerve motor branch under intraoperative neurophysiological monitoring: A case report and literature review
title_sort treatment of hemimasticatory spasm secondary to parry romberg syndrome via partial resection of the trigeminal nerve motor branch under intraoperative neurophysiological monitoring a case report and literature review
topic parry-Romberg syndrome (PRS)
hemimasticatory spasm
partial resection of the trigeminal nerve motor branch
masticatory muscles
spasms
intraoperative neurophysiological monitoring
url https://www.frontiersin.org/articles/10.3389/fsurg.2023.1146163/full
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