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Hemifacial spasm due to elongation and ectasia of the distal segment of the vertebral artery

Spasme hémifacial par allongement et élargissement du trait terminal de l'artère vertébrale. Présentation de deux cas.

Spasmus facialis bei Verlängerung und Dehnung des distalen Abschnittes der A. vertebralis. Beschreibung von 2 Fällen

Report of two cases

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Summary

The authors describe two cases of hemifacial spasm due to elongation of the terminal segment of the vertebral artery. One of the two patients had a bony malformation of the atlanto-occipital joint. This coincidence has indicated a vascular pathogenetic hypothesis in cases of hemifacial spasm with bone malformation of the atlanto-occipital joint.

Résumé

Les auteurs décrivent deux cas de spasme hémifacial par compression sur le nerf du trait terminal de l'artère vertébrale. Un des deux patients présentait une malformation osseuse de la charniére atlo-occipitale et cette coincidence a permis des hypothèses pathogénetiques de type vasculaire en cas de spasme hémifacial dans porteurs de malformations osseuses de la charniére atlo-occipitale.

Zusammenfassung

Die Autoren beschreiben 2 Fälle eines Spasmus facialis bei Kompression des N. VII durch das periphere Segment der A. vertebralis. Einer der beiden Patienten zeigte eine Knochenfehlbildung des atlantooccipital-Bogens. Durch dieses Zusammentreffen wird eine pathogenetische Hypothese der vaskulären Ursache in Fällen von Spasmus facialis bei Kranken mit Fehlbildungen der occipito-cervicalen Region angenommen.

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Carella, A., Caruso, G. & Lamberti, P. Hemifacial spasm due to elongation and ectasia of the distal segment of the vertebral artery. Neuroradiology 6, 233–236 (1973). https://doi.org/10.1007/BF00335330

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  • DOI: https://doi.org/10.1007/BF00335330

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