Contralateral Hemifacial Spasm Occurred Simultaneously in Acute Bell's Palsy

급성 벨마비와 동시에 발생한 반대측 반얼굴연축

  • Lee, Dong Kuck (Department of Neurology School of Medicine Catholic University of Daegu)
  • 이동국 (대구가톨릭대학교 의과대학 신경과학교실)
  • Published : 2005.12.30

Abstract

Hemifacial spasm (HFS) may develop after Bell's palsy (BP). But it was not reported that contralateral HFS occurred simultaneously in acute BP. A 25-year-old woman admitted with left HFS occurred simultaneously in acute right BP for 6 days. Past, family, and social history were unremarkable. Nerve conduction studies (NCS) and blink reflex (BR) test showed bilateral facial neuropathies. Brain MRI and cerebral angiography were normal. The symptoms and signs of HFS and BP were improved slowly after acyclovir and prednisolone therapy. Follow-up serial NCS and BR also showed a rapid improvement.

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