[Therapy of Hemifacial Spasm with Botulinum Toxin]. / Therapie des Spasmus hemifacialis mit Botulinumtoxin.
Fortschr Neurol Psychiatr
; 85(4): 194-198, 2017 Apr.
Article
em De
| MEDLINE
| ID: mdl-28437820
ABSTRACT
Hemifacial spasm (HFS) is a frequent disorder characterized by involuntary contractions of those muscles innervated by the facialis nerve on one side of the face. The symptoms can appear as tonic or clonic, intermittent or permanent. Diagnosis is based purely on clinical observation. Differential diagnosis should rely on cranial MRI, which can demonstrate a pathological contact between the nerves and vessels and exclude alternative causation. Often, the symptoms are not marked so that therapy may not be necessary. The therapy of choice is an injection of botulinum toxin to reduce the underlying pathological activity. As an alternative, decompression operation according to Jannetta can be considered, although it is frequently rejected by patients.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Toxinas Botulínicas
/
Antidiscinéticos
/
Espasmo Hemifacial
Limite:
Humans
Idioma:
De
Revista:
Fortschr Neurol Psychiatr
Ano de publicação:
2017
Tipo de documento:
Article