• J Clin Neurosci · Jul 2012

    Case Reports

    Hemifacial spasm, vertebrobasilar dolichoectasia and neurofibromatosis type 1.

    • E de Pablo-Fernández, E Correas-Callero, F Sierra-Hidalgo, and I J Posada.
    • Neurology Department, Movement Disorders Unit, 12 de Octubre University Hospital, Avda de Córdoba s/n, 28041 Madrid, Spain. edudepablo@hotmail.com
    • J Clin Neurosci. 2012 Jul 1;19(7):1046-7.

    AbstractHemifacial spasm (HFS) is usually produced by compression of the facial nerve by tortuous blood vessels at the root exit zone, including vertebrobasilar dolichoectasia (VBD). Neurofibromatosis type 1 (NF1) is an autosomal dominant disorder with a variety of symptoms, affecting mainly the skin and nervous system. Cerebrovascular abnormalities are becoming a recognized complication of the disease and the most constantly described lesions are stenosis and occlusions affecting the internal carotid artery. VBD has rarely been associated with NF1. We report a 38-year-old female patient with HFS produced by VBD with NF1 presenting with other cerebrovascular abnormalities associated with this disease. We discuss the possible association between these three entities, assuming that a causal relationship may be established and that VBD is part of the spectrum of vascular abnormalities caused by NF1 in this patient.Copyright © 2011 Elsevier Ltd. All rights reserved.

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