Skip to main content

21.11.2019 | Original Article - Functional Neurosurgery - Movement disorders

Arachnoid bands and venous compression as rare causes of hemifacial spasm: analysis of etiology in 353 patients

verfasst von: Ehab El Refaee, Sascha Marx, Christian Rosenstengel, Joerg Baldauf, Henry W. S. Schroeder

Erschienen in: Acta Neurochirurgica

Einloggen, um Zugang zu erhalten

Abstract

Background

Hemifacial spasm is usually caused by arterial compression at the root exit zone of the facial nerve. However, other etiologies have been reported. The aim of this study was to analyze the frequency of other causes of hemifacial spasm.

Methods

Our prospectively maintained hemifacial spasm database containing all patients who underwent microvascular decompression (MVD) for hemifacial spasm from 2002 to 2018 was reviewed. All offending structures were identified and recorded by the surgeon at the time of surgery. Additionally, the operative videos were analyzed retrospectively.

Results

MVD was performed in 353 patients. Arterial compression was the main cause of hemifacial spasm in 341 (96.9%) patients. Combined venous-arterial compression was seen in 7 (2.0%) patients. In one patient, the compression was from a large vein. In two patients, no compression was found. One patient who suffered from Bell’s palsy many years previously had severe synkinesis and the other had facial tics. In two patients, the spasm was caused due to strangulation of the facial nerve by arachnoid bands. Long-term follow-up of more than 18 months was available in 249 patients with total resolution or near total resolution of spasms in 89.96% of patients.

Conclusions

In most patients with hemifacial spasm, arterial vessels are involved in compressing the facial nerve. Purely venous compression is rarely encountered. We report for the very first time arachnoid bands strangulating the nerve as a cause for hemifacial spasm without involvement of any vessel.
Literatur
1.
Zurück zum Zitat Alemdar M (2012) Epidermoid cyst causing hemifacial spasm epidermoid cyst in cerebellopontine angle presenting with hemifacial spasm. J Neurosci Rural Pract 3(3):344–346CrossRef Alemdar M (2012) Epidermoid cyst causing hemifacial spasm epidermoid cyst in cerebellopontine angle presenting with hemifacial spasm. J Neurosci Rural Pract 3(3):344–346CrossRef
2.
Zurück zum Zitat Auger RG, Piepgras DG (1989) Hemifacial spasm associated with epidermoid tumors of the cerebellopontine angle. Neurology 39(4):577–580CrossRef Auger RG, Piepgras DG (1989) Hemifacial spasm associated with epidermoid tumors of the cerebellopontine angle. Neurology 39(4):577–580CrossRef
3.
Zurück zum Zitat Barker FG, Jannetta PJ, Bissonette DJ, Shields PT, Larkins MV, Jho HD (1995) Microvascular decompression for hemifacial spasm. J Neurosurg:201–210CrossRef Barker FG, Jannetta PJ, Bissonette DJ, Shields PT, Larkins MV, Jho HD (1995) Microvascular decompression for hemifacial spasm. J Neurosurg:201–210CrossRef
4.
Zurück zum Zitat Bonde V, Muzumdar D, Goel A (2008) Retroclival arachnoid cyst with hemifacial spasm. Singap Med J 49(10):e281–e282 Bonde V, Muzumdar D, Goel A (2008) Retroclival arachnoid cyst with hemifacial spasm. Singap Med J 49(10):e281–e282
5.
Zurück zum Zitat Campos-Benitez M, Kaufmann AM (2008) Neurovascular compression findings in hemifacial spasm. J Neurosurg 109(3):416–420CrossRef Campos-Benitez M, Kaufmann AM (2008) Neurovascular compression findings in hemifacial spasm. J Neurosurg 109(3):416–420CrossRef
6.
Zurück zum Zitat Choi S-K, Rhee B-A, Lim YJ (2009) Hemifacial spasm caused by epidermoid tumor at cerebello pontine angle. J Korean Neurosurg Soc 45(3):196–198CrossRef Choi S-K, Rhee B-A, Lim YJ (2009) Hemifacial spasm caused by epidermoid tumor at cerebello pontine angle. J Korean Neurosurg Soc 45(3):196–198CrossRef
7.
Zurück zum Zitat Desai K, Nadkarni T, Bhayani R, Goel A (2003) Cerebellopontine angle epidermoid tumor presenting with hemifacial spasms. Neurol India 51(2):288–289PubMed Desai K, Nadkarni T, Bhayani R, Goel A (2003) Cerebellopontine angle epidermoid tumor presenting with hemifacial spasms. Neurol India 51(2):288–289PubMed
8.
Zurück zum Zitat Dumot C, Sindou M (2018) Veins of the cerebellopontine angle and specific complications of sacrifice, with special emphasis on microvascular decompression surgery. A review. World Neurosurg 117:422–432CrossRef Dumot C, Sindou M (2018) Veins of the cerebellopontine angle and specific complications of sacrifice, with special emphasis on microvascular decompression surgery. A review. World Neurosurg 117:422–432CrossRef
9.
Zurück zum Zitat El Damaty A, Rosenstengel C, Matthes M, Baldauf J, Schroeder HWS (2016) The value of lateral spread response monitoring in predicting the clinical outcome after microvascular decompression in hemifacial spasm: a prospective study on 100 patients. Neurosurg Rev 39(3):455–466CrossRef El Damaty A, Rosenstengel C, Matthes M, Baldauf J, Schroeder HWS (2016) The value of lateral spread response monitoring in predicting the clinical outcome after microvascular decompression in hemifacial spasm: a prospective study on 100 patients. Neurosurg Rev 39(3):455–466CrossRef
10.
11.
Zurück zum Zitat El Refaee E, Langner S, Baldauf J, Matthes M, Kirsch M, Schroeder HWS (2013) Value of 3-dimensional high-resolution magnetic resonance imaging in detecting the offending vessel in hemifacial spasm: comparison with intraoperative high definition endoscopic visualization. Neurosurgery 73(1):58–67 discussion 67CrossRef El Refaee E, Langner S, Baldauf J, Matthes M, Kirsch M, Schroeder HWS (2013) Value of 3-dimensional high-resolution magnetic resonance imaging in detecting the offending vessel in hemifacial spasm: comparison with intraoperative high definition endoscopic visualization. Neurosurgery 73(1):58–67 discussion 67CrossRef
12.
Zurück zum Zitat Elgamal EA, Coakham HB (2005) Hemifacial spasm caused by pontine glioma: case report and review of the literature. Neurosurg Rev 28(4):330–332CrossRef Elgamal EA, Coakham HB (2005) Hemifacial spasm caused by pontine glioma: case report and review of the literature. Neurosurg Rev 28(4):330–332CrossRef
13.
Zurück zum Zitat Han I-B, Chang JH, Chang JW, Huh R, Chung SS (2009) Unusual causes and presentations of hemifacial spasm. Neurosurgery 65(1):130–137CrossRef Han I-B, Chang JH, Chang JW, Huh R, Chung SS (2009) Unusual causes and presentations of hemifacial spasm. Neurosurgery 65(1):130–137CrossRef
14.
Zurück zum Zitat Hertz R, Espinosa J, Lucerna A, Stranges D (2017) Multiple sclerosis presenting with facial twitching (myokymia and hemifacial spasms). Case Rep Neurol Med 2017:7180560PubMedPubMedCentral Hertz R, Espinosa J, Lucerna A, Stranges D (2017) Multiple sclerosis presenting with facial twitching (myokymia and hemifacial spasms). Case Rep Neurol Med 2017:7180560PubMedPubMedCentral
15.
Zurück zum Zitat Higashi S, Yamashita J, Yamamoto Y, Izumi K (1992) Hemifacial spasm associated with a cerebellopontine angle arachnoid cyst in a young adult. Surg Neurol 37(4):289–292CrossRef Higashi S, Yamashita J, Yamamoto Y, Izumi K (1992) Hemifacial spasm associated with a cerebellopontine angle arachnoid cyst in a young adult. Surg Neurol 37(4):289–292CrossRef
16.
Zurück zum Zitat Huang CI, Chen IH, Lee LS (1992) Microvascular decompression for hemifacial spasm: analyses of operative findings and results in 310 patients. Neurosurgery 30(1):53–56 discussion 56–7CrossRef Huang CI, Chen IH, Lee LS (1992) Microvascular decompression for hemifacial spasm: analyses of operative findings and results in 310 patients. Neurosurgery 30(1):53–56 discussion 56–7CrossRef
17.
Zurück zum Zitat Liu J, Liu P, Zuo Y, Xu X, Liu H, Du R, Yu Y, Yuan Y (2018) Hemifacial spasm as rare clinical presentation of vestibular schwannomas. World Neurosurg 116:e889–e894CrossRef Liu J, Liu P, Zuo Y, Xu X, Liu H, Du R, Yu Y, Yuan Y (2018) Hemifacial spasm as rare clinical presentation of vestibular schwannomas. World Neurosurg 116:e889–e894CrossRef
18.
Zurück zum Zitat Mastronardi L, Taniguchi R, Caroli M, Crispo F, Ferrante L, Fukushima T (2009) Cerebellopontine angle arachnoid cyst: a case of hemifacial spasm caused by an organic lesion other than neurovascular compression: case report. Neurosurgery 65(6):E1205 discussion E1205CrossRef Mastronardi L, Taniguchi R, Caroli M, Crispo F, Ferrante L, Fukushima T (2009) Cerebellopontine angle arachnoid cyst: a case of hemifacial spasm caused by an organic lesion other than neurovascular compression: case report. Neurosurgery 65(6):E1205 discussion E1205CrossRef
19.
Zurück zum Zitat Mercier P, Sindou M (2018) The conflicting vessels in hemifacial spasm: literature review and anatomical-surgical implications. Neurochirurgie 64(2):94–100CrossRef Mercier P, Sindou M (2018) The conflicting vessels in hemifacial spasm: literature review and anatomical-surgical implications. Neurochirurgie 64(2):94–100CrossRef
20.
Zurück zum Zitat Miyazaki S, Fukushima T, Nagai A, Tamagawa T (1987) CP angle meningioma presenting as hemifacial spasm. No Shinkei Geka 15(6):683–686PubMed Miyazaki S, Fukushima T, Nagai A, Tamagawa T (1987) CP angle meningioma presenting as hemifacial spasm. No Shinkei Geka 15(6):683–686PubMed
21.
Zurück zum Zitat Møller AR (1999) Vascular compression of cranial nerves: II: pathophysiology. Neurol Res 21(5):439–443CrossRef Møller AR (1999) Vascular compression of cranial nerves: II: pathophysiology. Neurol Res 21(5):439–443CrossRef
22.
Zurück zum Zitat Narayan V, Savardekar AR, Patra DP, Mohammed N, Thakur JD, Riaz M, Nanda A (2018) Safety profile of superior petrosal vein (the vein of Dandy) sacrifice in neurosurgical procedures: a systematic review. Neurosurg Focus 45(1):E3CrossRef Narayan V, Savardekar AR, Patra DP, Mohammed N, Thakur JD, Riaz M, Nanda A (2018) Safety profile of superior petrosal vein (the vein of Dandy) sacrifice in neurosurgical procedures: a systematic review. Neurosurg Focus 45(1):E3CrossRef
23.
Zurück zum Zitat Nielsen VK (1985) Electrophysiology of the facial nerve in hemifacial spasm: ectopic/ephaptic excitation. Muscle Nerve 8(7):545–555CrossRef Nielsen VK (1985) Electrophysiology of the facial nerve in hemifacial spasm: ectopic/ephaptic excitation. Muscle Nerve 8(7):545–555CrossRef
24.
Zurück zum Zitat Ogawa H, Hiroshima S, Kamada K (2015) A case of facial spasm associated with ipsilateral cerebellopontine angle arachnoid cyst. Surg J (N Y) 1(1):e38–e40 Ogawa H, Hiroshima S, Kamada K (2015) A case of facial spasm associated with ipsilateral cerebellopontine angle arachnoid cyst. Surg J (N Y) 1(1):e38–e40
25.
Zurück zum Zitat Refaee EE, El Refaee E, Rosenstengel C, Baldauf J, Pillich DT, Matthes M, Schroeder HWS (2017) Microvascular decompression for patients with hemifacial spasm associated with common trunk anomaly of the cerebellar arteries—case study and review of literature. Oper Neurosurg 14(2):121–127CrossRef Refaee EE, El Refaee E, Rosenstengel C, Baldauf J, Pillich DT, Matthes M, Schroeder HWS (2017) Microvascular decompression for patients with hemifacial spasm associated with common trunk anomaly of the cerebellar arteries—case study and review of literature. Oper Neurosurg 14(2):121–127CrossRef
26.
Zurück zum Zitat Rosenstengel C, Matthes M, Baldauf J, Fleck S, Schroeder H (2012) Hemifacial spasm: conservative and surgical treatment options. Dtsch Arztebl Int 109(41):667–673PubMedPubMedCentral Rosenstengel C, Matthes M, Baldauf J, Fleck S, Schroeder H (2012) Hemifacial spasm: conservative and surgical treatment options. Dtsch Arztebl Int 109(41):667–673PubMedPubMedCentral
27.
Zurück zum Zitat Ruiz-Juretschke F, Vargas A, González-Rodrigalvarez R, Garcia-Leal R (2015) Hemifacial spasm caused by a cerebellopontine angle arachnoid cyst. Case report and literature review. Neurocirugia 26(6):307–310CrossRef Ruiz-Juretschke F, Vargas A, González-Rodrigalvarez R, Garcia-Leal R (2015) Hemifacial spasm caused by a cerebellopontine angle arachnoid cyst. Case report and literature review. Neurocirugia 26(6):307–310CrossRef
28.
Zurück zum Zitat Samii M, Günther T, Iaconetta G, Muehling M, Vorkapic P, Samii A (2002) Microvascular decompression to treat hemifacial spasm: long-term results for a consecutive series of 143 patients. Neurosurgery 50(4):712–718 discussion 718–9CrossRef Samii M, Günther T, Iaconetta G, Muehling M, Vorkapic P, Samii A (2002) Microvascular decompression to treat hemifacial spasm: long-term results for a consecutive series of 143 patients. Neurosurgery 50(4):712–718 discussion 718–9CrossRef
29.
Zurück zum Zitat Sprik C, Wirtschafter JD (1988) Hemifacial spasm due to intracranial tumor. An international survey of botulinum toxin investigators. Ophthalmology 95(8):1042–1045CrossRef Sprik C, Wirtschafter JD (1988) Hemifacial spasm due to intracranial tumor. An international survey of botulinum toxin investigators. Ophthalmology 95(8):1042–1045CrossRef
30.
Zurück zum Zitat Takano S, Maruno T, Shirai S, Nose T (1998) Facial spasm and paroxysmal tinnitus associated with an arachnoid cyst of the cerebellopontine angle--case report. Neurol Med Chir 38(2):100–103CrossRef Takano S, Maruno T, Shirai S, Nose T (1998) Facial spasm and paroxysmal tinnitus associated with an arachnoid cyst of the cerebellopontine angle--case report. Neurol Med Chir 38(2):100–103CrossRef
31.
Zurück zum Zitat Wang A, Jankovic J (1998) Hemifacial spasm: clinical findings and treatment. Muscle Nerve 21(12):1740–1747CrossRef Wang A, Jankovic J (1998) Hemifacial spasm: clinical findings and treatment. Muscle Nerve 21(12):1740–1747CrossRef
32.
Zurück zum Zitat Yaltho TC, Jankovic J (2011) The many faces of hemifacial spasm: differential diagnosis of unilateral facial spasms. Mov Disord 26(9):1582–1592CrossRef Yaltho TC, Jankovic J (2011) The many faces of hemifacial spasm: differential diagnosis of unilateral facial spasms. Mov Disord 26(9):1582–1592CrossRef
33.
Zurück zum Zitat Zhong J, Zhu J, Sun H, Dou N-N, Wang Y-N, Ying T-T, Xia L, Liu M-X, Tao B-B, Li S-T (2014) Microvascular decompression surgery: surgical principles and technical nuances based on 4000 cases. Neurol Res 36(10):882–893CrossRef Zhong J, Zhu J, Sun H, Dou N-N, Wang Y-N, Ying T-T, Xia L, Liu M-X, Tao B-B, Li S-T (2014) Microvascular decompression surgery: surgical principles and technical nuances based on 4000 cases. Neurol Res 36(10):882–893CrossRef
Metadaten
Titel
Arachnoid bands and venous compression as rare causes of hemifacial spasm: analysis of etiology in 353 patients
verfasst von
Ehab El Refaee
Sascha Marx
Christian Rosenstengel
Joerg Baldauf
Henry W. S. Schroeder
Publikationsdatum
21.11.2019
Verlag
Springer Vienna
Erschienen in
Acta Neurochirurgica
Print ISSN: 0001-6268
Elektronische ISSN: 0942-0940
DOI
https://doi.org/10.1007/s00701-019-04119-5

Leitlinien kompakt für die Neurologie

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Update Neurologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.