IJCRR - Vol 06 Issue 08, April, 2014
CHRONIC HEMIFACIAL SPASM - A MASQUERADER OF EPILEPSIA PARTIALIS CONTINUA
Author: Manigandan Gopi, Sunny D.A.N., Aashish Aarumugam
Hemi Facial Spasm (HFS) is commonly caused by compression of seventh cranial nerve by dolichoectatic arteries of posterior circulation though genetic and idiopathic causes to be considered1. Here we report a case of chronic HFS, A 55 years old female previously diagnosed to be HFS due to aberrant vascular loop compressing the facial nerve, on treatment for the past five years with no improvement in the symptoms. Patient EEG showed electrical activity in the right frontal lobe suggesting each spasm was due to partial seizure and diagnosis of Epilepsia Partialis Continua (EPC) was made. Patient symptoms resolved completely after starting newer anti convulsant medication suggesting that the facial spasms are due to EPC. Even though EPC is arising from cerebral cortex or sub cortical region it may present and to be mistaken as HFS - a peripheral movement disorder when it affects the face alone as in this case.
Keywords: Hemifacial spasm, Epilepsiapartialis continua
Manigandan Gopi, Sunny D.A.N., Aashish Aarumugam. CHRONIC HEMIFACIAL SPASM - A MASQUERADER OF EPILEPSIA PARTIALIS CONTINUA International Journal of Current Research and Review. Vol 06 Issue 08, April, 14-17
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