scholarly journals ACUPUNCTURE AND SELF ACUPRESSURE TREATMENT OF HEMIFACIAL SPASM: A CASE REPORT

2020 ◽  
Vol 4 (1) ◽  
pp. 12
Author(s):  
Maya Septriana ◽  
Yudi Perdana
Keyword(s):  
Case Report ◽  
Hemifacial Spasm ◽  
Biochemical Mechanism ◽  
Entry Zone ◽  
Root Entry Zone ◽  
Auricular Acupressure ◽  
Strong Stimulation ◽  
The Face ◽  
Vascular Loop ◽  
Stimulation Of

Background: Hemifacial spasm (HFS) is a condition of unilateral, involuntary, irregular, spasmodic movements of the face. The condition is most commonly a result of vascular loop compression at the root entry zone of the facial nerve. Patient whose hemifacial spasm with  left-sided facial complaints often twitching since 6 months ago. This   69-year-old  man with hyperlipidemia and hypertension had diagnosed with hemifacial spasm by neurologist. Purpose: To prove the effect of acupuncture on Fengchi (GB 20), Neiguan (PC 6) and Taichong (LR 3) accompanied with acupressure on Taichong (LR 3)  and auricular acupressure on the Ear Shenmen point in patient with hemifacial spasm. Methods: Handling Hemifacial spasm with acupuncture on Fengchi (GB 20), Neiguan (PC 6) and Taichong (LR 3)  with the reducing method and strong stimulation three times a week, acupressure on the Taichong (LR 3) twice a day for 30 times pressure and auricular acupressure on ear Shenmen, twice a day for 5 minutes. Results: Biochemical  mechanism of acupuncture and acupressure involve the stimulation of acupoint that lead to complex neuro-hormonal response. In handling hemifacial spasm, acupunture given for 15 times, taken three times a week combined with acupressure and auricular acupressure. This therapy overcome the symptoms of facial twitching in hemifacial spasm. Conclusion: Acupuncture combined with acupressure and auricular acupressure can be used to overcome facial twitching in hemifacial spasm.

scholarly journals Hemifacial Spasm: Results of Microvascular Relocation

1983 ◽  
Vol 10 (3) ◽  
pp. 187-191 ◽  
Author(s):  
David Fairholm ◽  
Jiunn-Ming Wu ◽  
Kan-Nan Liu
Keyword(s):  
Hemifacial Spasm ◽  
Entry Zone ◽  
Root Entry Zone ◽  
Seventh Nerve ◽  
Permanent Loss ◽  
The Face ◽  
Mass Lesions ◽  
Loss Of Hearing ◽  
Structural Mass

SUMMARY:Twenty patients with hemifacial spasm were treated between February 1980 and June 1981. All presented with typical disabling unilateral contractions of the face. Computerized Tomographic Scan and angiograms ruled out structural mass lesions. All patients underwent posterior fossa microsurgical relocation of a vessel from the root entry zone of the facial nerve. An offending arterial loop was found in each case. Nineteen patients are free of symptoms and the remaining one is improved. One patient has permanent loss of hearing and two developed mild facial weakness. There has been no recurrence in 18 months follow up. These results give further support to the theory that hemifacial spasm is an affliction of the seventh nerve in the cerebello-pontine angle, most commonly caused by vascular cross compression at the root entry zone. Surgical relocation of the offending vessel relieves the symptoms and there appears to be no recurrence. This procedure is not difficult and carries acceptable risk for the patient with this disabling condition.

Hemifacial Spasm Caused by a Venule: Case Report

Neurosurgery ◽  
1984 ◽  
Vol 14 (1) ◽  
pp. 89-92 ◽  
Author(s):  
Peter J. Jannetta
Keyword(s):  
Case Report ◽  
Facial Nerve ◽  
Blood Vessels ◽  
Hemifacial Spasm ◽  
Vascular Compression ◽  
Entry Zone ◽  
Root Entry Zone ◽  
Facial Spasm ◽  
Posterior Direction ◽  
Anterior Posterior

Abstract The syndrome of hemifacial spasm occurs as a consequence of compression, almost universally by blood vessels, of the root entry zone of the facial nerve. The vascular compression is usually obvious at operation, but may be subtle. The author describes a case in which a venule running in an anterior-posterior direction across the caudal aspect of the root entry zone of the facial nerve, which was thought to be causing the spasm, was coagulated and divided. A small, more distal arteriole, probably not contributory, was decompressed away from the nerve. After operation, the patient improved gradually, and she remains free of facial spasm or weakness. This is the most subtle vascular compression seen by the author and his colleagues in over 400 microvascular decompressions for hemifacial spasm.

“Macrovascular” Decompression of Dolichoectatic Vertebral Artery Causing Hemifacial Spasm Using Goretex Sling: 2-Dimensional Operative Video

2018 ◽  
Vol 16 (2) ◽  
pp. 267-268 ◽  
Author(s):  
Stephan A Munich ◽  
Jacques J Morcos
Keyword(s):  
Facial Nerve ◽  
Vertebral Artery ◽  
Hemifacial Spasm ◽  
Microvascular Decompression ◽  
Orbicularis Oculi ◽  
Entry Zone ◽  
Common Cause ◽  
Root Entry Zone ◽  
Offending Artery ◽  
Key Steps

Abstract Hemifacial spasm is characterized by painless and involuntary spasms of the muscles supplied by the facial nerve, most commonly involving the orbicularis oculi. The most common cause of hemifacial spasm is compression of the facial nerve's root by the anterior inferior, or posterior inferior, cerebellar arteries (AICA or PICA). However, in <1% of cases, the compression can be due to a dolichoectatic vertebral artery. Microvascular decompression using Teflon patties may be sufficient when the offending artery is small (eg, AICA or PICA). However, the size and tortuosity of the vertebral artery (especially one that is dolichoectatic) may require a more robust means of decompression (ie, “macrovascular decompression”).  In this operative video we demonstrate our technique for managing a patient with hemifacial spasm due to a dolicoectatic vertebral artery. We use a Goretex® (W.L. Gore & Associates Inc, Newark, Delaware) sling secured to the dura of the posterior petrous ridge to suspend the vertebral and posterior inferior cerebellar arteries, thereby decompressing the root entry zone of the facial nerve. Teflon felt pieces are added as a second layer of security. Key steps to this technique include: (1) visualization of the root entry zone, (2) extensive arachnoid dissection to allow adequate mobilization of the vertebral artery, 12 and (3) securing the sling in a trajectory that prevents kinking of the vertebral artery and its branches.

Generator sites of early scalp potentials evoked from the three trigeminal branches

1998 ◽  
Vol 88 (4) ◽  
pp. 718-725 ◽  
Author(s):  
Massimo Leandri
Keyword(s):  
Direct Evidence ◽  
Foramen Ovale ◽  
Superior Orbital Fissure ◽  
Entry Zone ◽  
Content Type ◽  
Maxillary Nerve ◽  
Root Entry Zone ◽  
Foramen Rotundum ◽  
Fine Print ◽  
Stimulation Of

Object. The aim of this study was to seek evidence about the generators of the first three components of the scalp's early trigeminal evoked potentials (TEPs) obtained by stimulation of the supraorbital (SW1, SW2, and SW3), infraorbital (W1, W2, and W3) and mental (MW1, MW2, and MW3) nerves. Methods. Simultaneous scalp and depth recordings were measured during surgical procedures in which thermorhizotomy and microvascular decompression were performed. Conclusions. Direct evidence was found that the origin of MW1 lies in the mandibular nerve at the foramen ovale, whereas the origin of W1 in the maxillary nerve at the foramen rotundum and the origin of SW1 in the ophthalmic nerve at the superior orbital fissure could only be inferred. The generators of SW2, W2, and MW2 were found to be on the nerve root at a distance of 10 mm from the pons. Calculations based on conduction velocity suggested that the generators of SW3, W3, and MW3 were inside the brainstem, at distances between 16 mm and 20 mm from the root entry zone. Recordings obtained in eight patients with discrete surgical lesions of the trigeminal pathway confirmed the sites of origin of the early components and further proved that only the fastest group of fibers is responsible for scalp responses.

Trigeminal Neuralgia Resulting from Infarction of the Root Entry Zone of the Trigeminal Nerve: Case Report

Neurosurgery ◽  
1998 ◽  
Vol 43 (3) ◽  
pp. 620-623 ◽  
Author(s):  
Alexandra J. Golby ◽  
Alexander Norbash ◽  
Gerald D. Silverberg
Keyword(s):  
Case Report ◽  
Trigeminal Neuralgia ◽  
Trigeminal Nerve ◽  
Entry Zone ◽  
Root Entry Zone

On the origin of synkinesis in hemifacial spasm: results of intracranial recordings

1984 ◽  
Vol 61 (3) ◽  
pp. 569-576 ◽  
Author(s):  
Aage R. Møller ◽  
Peter J. Jannetta
Keyword(s):  
Facial Nerve ◽  
Hemifacial Spasm ◽  
Orbicularis Oculi Muscle ◽  
Orbicularis Oculi ◽  
Content Type ◽  
Root Entry Zone ◽  
Marginal Mandibular Branch ◽  
Intracranial Recordings ◽  
Mandibular Branch ◽  
Stimulation Of

✓ Recordings were made from facial muscles and the facial nerve near its entrance into the brain stem in patients with hemifacial spasm (HFS). The purpose of this study was to determine if the synkinesis commonly seen in patients with HFS could be linked to ephaptic transmission at the presumed site of the lesion (at the root entry zone (REZ) of the facial nerve). When the mandibular branch of the facial nerve was electrically stimulated, a response could be recorded from the orbicularis oculi muscles during the operation. The latency of the earliest response was 11.03 ± 0.66 msec (mean response of seven patients ± standard deviation (SD)). With equivalent stimulation a response could also be recorded from the facial nerve near the REZ; the latency of this response was 3.87 ± 0.36 msec. Stimulation of the facial nerve at the same location yielded a response from the orbicularis oculi muscle, with a latency of 4.65 ± 0.25 msec. The latency of the earliest response from the orbicularis oculi muscle to stimulation of the marginal mandibular branch of the facial nerve (11.3 msec) is thus larger than the sum of the conduction times from the points of stimulation of the marginal mandibular branch to the REZ of the facial nerve and from the REZ of the facial nerve to the orbicularis oculi muscle (8.52 ± 0.38 msec). It is therefore regarded as unlikely that the earliest response of the orbicularis oculi muscle to stimulation of the mandibular branch of the facial nerve is a result of “crosstalk” in the facial nerve at a location near the REZ, and it seems more likely that HFS caused by injury of the facial nerve is a result of reverberant activity in the facial motonucleus, possibly caused by mechanisms that are similar to kindling.

Primary glioblastoma of the trigeminal nerve root entry zone: case report

2015 ◽  
Vol 122 (1) ◽  
pp. 78-81 ◽  
Author(s):  
Jonathan D. Breshears ◽  
Michael E. Ivan ◽  
Jennifer A. Cotter ◽  
Andrew W. Bollen ◽  
Phillip V. Theodosopoulos ◽  
...  
Keyword(s):  
Case Report ◽  
Trigeminal Nerve ◽  
Nerve Root ◽  
Cranial Nerve ◽  
Entry Zone ◽  
Primary Glioblastoma ◽  
Root Entry Zone ◽  
Trigeminal Nerve Root ◽  
Facial Numbness ◽  
Symptom Progression

Gliomas of the cranial nerve root entry zone are rare clinical entities. There have been 11 reported cases in the literature, including only 2 glioblastomas. The authors report the case of a 67-year-old man who presented with isolated facial numbness and was found to have a glioblastoma involving the trigeminal nerve root entry zone. After biopsy the patient completed treatment with conformal radiation and concomitant temozolomide, and at 23 weeks after surgery he demonstrated symptom progression despite the treatment described. This is the first reported case of a glioblastoma of the trigeminal nerve root entry zone.

Hemifacial spasm secondary to vascular loop compression: a rare case report

2017 ◽  
Vol 34 (3) ◽  
pp. 273-276
Author(s):  
Pratibha S. Sharma ◽  
Atul P. Sattur ◽  
Preetam B. Patil ◽  
Kirty R. Nandimath ◽  
Kruthika S. Guttal ◽  
...  
Keyword(s):  
Case Report ◽  
Hemifacial Spasm ◽  
Rare Case ◽  
Rare Case Report ◽  
Vascular Loop
Sign in / Sign up

Export Citation Format

Share Document