Endovascular Flow Diversion for Hemifacial Spasm Induced by a Vertebral Artery Aneurysm: First Experience

Author:

Santiago-Dieppa David R1,McDonald Marin A2,Brandel Michael G1ORCID,Rennert Robert C1,Khalessi Alexander A1,Olson Scott E1

Affiliation:

1. Department of Neurosurgery, University of California-San Diego, La Jolla, California

2. Department of Radiology, University of California-San Diego, La Jolla, California

Abstract

Abstract BACKGROUND AND IMPORTANCE Flow diversion for the treatment of aneurysm-induced hemifacial spasm (HFS) has not been previously described. CLINICAL PRESENTATION The authors present the case of a 60-yr-old woman who presented with 1 yr of progressive left HFS secondary to a vertebral artery aneurysm compressing the root entry zone of cranial nerve VII. The patient's aneurysm was successfully treated with a flow diverting stent. CONCLUSION In the immediate postoperative period, the patient had near complete resolution of her HFS symptoms. At her 6-mo follow-up the patient had no angiographic filling of the aneurysm and her HFS symptoms had completely resolved.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Clinical Neurology,Surgery

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