Pramitha Nayana Librata, - and Achmad Firdaus Sani, - and Dedy Kurniawan, - and Muhammad Hamdan, Muhammad and Priya Nugraha, - Hemifacial spasm caused by tortuous vertebrobasilar artery: a case report. Egyptian Journal of Neurology, Psychiatry and Neurosurgery, 58 (55). ISSN ISSN:1110-1083 E-ISSN:1687-8329

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Abstract

Abstract Background Hemifacial spasm is a rare movement disorder. Prevalence estimates worldwide was 14.5 per 100,000 women and 7.4 per 100,000 men. Hemifacial spasm generally caused by compression of blood vessels at the root entry zone of the facial nerve in the brainstem, tortuous anteroinferior cerebellar artery (AICA) and posteroinferior cerebellar artery (PICA). Direct compression by vertebrobasilar dolichoectasia (VBD) with coincidence cavernoma is extremely rare. Case report A 50-year-old woman with right hemifacial spasm for 1 year, with a history of hypertension for 10 years, did not take medication regularly. MRI MRA was performed showing suspicious dolichoectasia in the vertebrobasilar artery and cavernoma in the left basal ganglia. Then digital subtraction angiography was performed, it was found that the tortuous vertebrobasilar junction artery with a curve to the right caused right hemifacial spasm. Conclusion Vascular imaging examination is important to do to find the cause of hemifacial spasm suspected to be due to vascular causes. The finding of two types of intracranial vascular malformations should be explored further. Therefore, the selection of therapy and management becomes more appropriate.

Item Type:	Article
Subjects:	R Medicine > R Medicine (General) > R5-920 Medicine (General)
Divisions:	01. Fakultas Kedokteran > Neurologi (Spesialis)
Creators:	Creators NIM Pramitha Nayana Librata, - UNSPECIFIED Achmad Firdaus Sani, - UNSPECIFIED Dedy Kurniawan, - UNSPECIFIED Muhammad Hamdan, Muhammad NIDN8830820016 Priya Nugraha, - UNSPECIFIED
Depositing User:	arys fk
Date Deposited:	05 Jul 2023 16:37
Last Modified:	05 Jul 2023 16:37
URI:	http://repository.unair.ac.id/id/eprint/127723
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