Hemifacial spasm: Evaluation by magnetic resonance imaging and magnetic resonance tomographic angiography

Charles H. Adler, Robert A. Zimmerman, Peter J. Savino, Bruno Bernardi, Thomas M. Bosley, Robert C. Sergott

Research output: Contribution to journalArticlepeer-review

Abstract

We evaluated 37 patients with hemifacial spasm and 16 age-matched control patients with other neurological disorders using magnetic resonance (MR) imaging, MR angiography, and MR tomographic angiography. MR tomographic angiography is a new technique using computer reconstruction of MR angiographic images to create coronal angiotomes that display tissue and arterial structures on the same image. Twenty-four of 37 (64.9%) patients with hemifacial spasm had ipsilateral vascular compression of cranial nerve VII or the pons noted by this technique, whereas only 1 of 16 (6.3%) control patients had compression. MR imaging and MR angiography were less sensitive and less specific in evaluating for vascular compression. This study supports vascular compression of cranial nerve VII or the pons as a cause of hemifacial spasm, and demonstrates MR tomographic angiography's value as an excellent, noninvasive technique to demonstrate the compression.

Original languageEnglish
Pages (from-to)502-506
Number of pages5
JournalAnnals of Neurology
Volume32
Issue number4
Publication statusPublished - Oct 1992

ASJC Scopus subject areas

  • Neuroscience(all)

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