Magnetic resonance imaging in patients with hemifacial spasm Hemifasiyal spazmlı hastalarda nörogörüntüleme bulguları

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Göksu E. Ö., GENÇ F., Yüksel B.

Pamukkale Medical Journal, cilt.13, sa.3, ss.555-560, 2020 (Scopus, TRDizin)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 13 Sayı: 3
  • Basım Tarihi: 2020
  • Doi Numarası: 10.31362/patd.688158
  • Dergi Adı: Pamukkale Medical Journal
  • Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.555-560
  • Anahtar Kelimeler: facial nerve, Hemifacial spama, neuroimaging
  • Açık Arşiv Koleksiyonu: AVESİS Açık Erişim Koleksiyonu
  • Sağlık Bilimleri Üniversitesi Adresli: Evet

Özet

Purpose: Hemifacial spasm (HFS) is a chronic disease that is characterized by involuntary tonic and clonic contractions of the muscles innervated by the ipsilateral facial nerve. The most common cause for HFS is an ectatic or aberrant blood vessel which compresses the entry/exit zone of the nerve. In this study, we aimed to evaluate brain magnetic resonance imaging (MRI) findings in HFS patients. Materials and methods: Fifty-two patients with primary HFS who were followed up in Antalya Training and Research Hospital's movement disorders outpatient clinic were included to the study. Demographic variables and brain MRI findings with 1.5-tesla MRI were examined retrospectively. Results: Fifty-two patients were participated to the study. Thirty-six (69.2%) were female and 16 were male with a mean age of 59.5±1.07. The duration of the disease was 5 years (min:1 max:35). 52.9% of the patients had left-sided symptoms. Half of the patients (50%, n:26) had hypertension. Twenty-eight patients (53.8%) had normal MRI, 20 (38.5) had periventricular white matter hyperintensities, 1(1.9%) patient had periventricular white matter hyperintensities with atrophy, 1(1.9%) had encephalomalasia and 2 (3.8%) had basillary artery dolicoectasia on brain MRI. Twenty-nine patients had also brain MR angiography (MRA) and 2 patients had basillary artery dolicoectasia other than the 2 patients. Conclusion: We conducted this study retrospectively. All patients had brain MRI, however some didn't have MRA. Thus, we couldn't visualize the nuerovascular anatomy adequately. But we show that 4 patients had basillary artery dolicoectasia. Prospective studies with advanced imaging techniques including more patients are needed.