• World Neurosurg · Nov 2020

    Case Reports

    Hemifacial spasm secondary to arachnoiditis due to neurocysticercosis: clinical image.

    • Susan Y Yang, Carlos M Vásquez, and Cysticercosis Working Group in Perú.
    • School of Medicine, Trinity College Dublin, Dublin, Ireland; Unidad de Investigación de Enfermedades Parasitarias del Sistema Nervioso, Universidad Peruana Cayetano Heredia, Lima, Perú; Centro Básico de Investigación en Exámenes Auxiliares en Parasitosis del Sistema Nervioso, Instituto Nacional de Ciencias Neurológicas, Lima, Perú. Electronic address: susanchyang@gmail.com.
    • World Neurosurg. 2020 Nov 1; 143: 180-182.

    AbstractSubarachnoid neurocysticercosis (NCC) is a form of NCC with cysticerci located in the subarachnoid space. This form of NCC can cause general and focal neurologic symptoms, and sometimes requires surgical intervention as a treatment. In this report, we present a rare case of hemifacial spasm secondary to arachnoiditis because of an NCC cyst in the cerebellopontine angle. The cysticercus was removed and the facial nerve was liberated via a retrosigmoidal approach. At 8-month follow-up, the patient reported no recurrence of symptoms. To our knowledge, this is the first case reported to surgically manage hemifacial spasm secondary to NCC arachnoiditis.Copyright © 2020 Elsevier Inc. All rights reserved.

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