• World Neurosurg · Jun 2016

    Review Case Reports

    Microvascular decompression for hemimasticatory spasm: a case report and review of the literature.

    • Hongtao Sun, Zhengjun Wei, Yanmin Wang, Chenglong Liu, Miaobin Chen, and Yunfeng Diao.
    • The Sixth Department of Neurosurgery, Affiliated Hospital of Armed Police Forces Logistical College, Tianjin, China. Electronic address: chenmo333@163.com.
    • World Neurosurg. 2016 Jun 1; 90: 703.e5-703.e10.

    BackgroundHemimasticatory spasm is a rare clinical entity characterized by involuntary and paroxysmal contractions of the jaw-closing muscles on 1 side of the face. Although its cause is not fully known, vascular compression of the trigeminal nerve has been speculated.Case DescriptionHere, we report 1 case of hemimasticatory spasm that was cured by microvascular decompression of the motor branch of the trigeminal nerve; a relevant literature review was also performed.ConclusionsHemimasticatory spasm is a rare disease that may be recalcitrant to conservative medical therapy, and vascular decompression of the trigeminal nerve may be required to relieve the spasm.Copyright © 2016 Elsevier Inc. All rights reserved.

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