Facial spasm and headaches: should we call it “IIH-Spasm syndrome?”

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Facial spasm and headaches: should we call it “IIH-Spasm syndrome?”

DOI: 10.1186/1129-2377-1-s14-p225
  • Poster Presentation


Facial spasm and headaches: should we call it “IIH-Spasm syndrome?” POSTER PRESENTATION Open Access Facial spasm and headaches: should we call it “IIH-Spasm syndrome?” S Muzerengi*, C Moor, M Davies From The European Headache and Migraine Trust International Congress London, UK. 20-23 September 2012 Introduction Idiopathic intracranial hypertension (IIH) typically mani- fests with headaches and visual disturbance. Unusual pre- senting features of IIH are sometimes described. Hemi facial spasm (HFS) in women has an incidence of 0.81 per 100,000 compared to an IIH incidence rate of 3.5-20 per 100,000. We describe the 4th case of HFS induced by IIH and we propose a new nomenclature. Case We present a case of a 33 year old right handed woman with sequential new onset headache causing secondary HFS. Neurological examination revealed bilateral papillaoe- dema and confirmed right sided facial spasms. Cerebrosp- inal fluid examination showed an opening pressure of 33cm H2O and normal CSF constituents. High resolution brain MRI and MRV were normal including no evidence of neurovascular compression in the cerebello-pontine angle. EEG was entirely normal. The headache and HFS resolved after lowering CSF pressure. At three months post lumbar puncture she remained asymptomatic with no further episodes of HFS. Conclusion: There are only three prior cases of IIH associated with HFS in the published lit- erature. We describe a further case of a very rare clinical manifestation of IIH and propose a possible pathophysiolo- gical mechanism and a new name for this entity “IIH- Spasm syndrome”. Published: 21 February 2013 References 1. Auger RG, Whisnant JP: “Hemifacial spasm in Rochester and Olmsted County, Minnesota, 1960 to 1984,”. Archives of Neurology 1990, 47(11):1233-1234. 2. Digre KB: Idiopathic Intracranial hypertension. British Medical Journal 2010, 341. doi:10.1186/1129-2377-14-S1-P225 Cite this article as: Muzerengi et al.: Facial spasm and headaches: should we call it “IIH-Sp

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