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Hemifacial Spasm and Osteitis Deformans

descriptionPublicationkeyboard_double_arrow_right Article 01 Mar 1995Publisher:Elsevier BVJournal:American Journal of Ophthalmology, volume 119, pages 376-377 (issn: 0002-9394,

Authors: Nicky Kelepouris; Edsel Ing; Thomas M. Bosley; Robert C. Sergott; Peter J. Savino;

doi: 10.1016/s0002-9394(14)71189-4 , 10.1097/00041327-199603000-00026

pmid: 7872405

Hemifacial Spasm and Osteitis Deformans

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Abstract

A patient with osteitis deformans (Paget's disease) and hemifacial spasm underwent magnetic resonance tomographic angiography. Bone-modulating bisphosphonates and botulinum injection were administered to treat the hemifacial spasm.Computed tomography showed marked temporal bone overgrowth. Magnetic resonance tomographic angiography showed no vascular compression of the facial nerve root. The hemifacial spasm failed to resolve with intravenous pamidronate. Subsequent botulinum injection rendered the patient spasm free for 22 weeks. Further research on the use of bisphosphonates in the treatment of pagetoid hemifacial spasm is required.

Related Organizations

Thomas Jefferson University
United States
Wills Eye Hospital
United States
University of Pennsylvania
United States

Keywords

Spasm, Botulinum Toxins, Diphosphonates, Facial Muscles, Pamidronate, Osteitis Deformans, Facial Bones, Humans, Female, Tomography, X-Ray Computed, Magnetic Resonance Angiography, Aged

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