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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Frontiers Media S.A.
2023-04-01
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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. |
first_indexed | 2024-04-09T17:11:57Z |
format | Article |
id | doaj.art-d5b3c36a0c7445daa9a0a24fdc79adbe |
institution | Directory Open Access Journal |
issn | 2296-875X |
language | English |
last_indexed | 2024-04-09T17:11:57Z |
publishDate | 2023-04-01 |
publisher | Frontiers Media S.A. |
record_format | Article |
series | Frontiers in Surgery |
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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