Management of recalcitrant hemi-facial spasm with upper eyelid gold weight insertion

Beem, Henry, Dunn, Darryl, Peters, Matthew and Rowe, Kieran (2017) Management of recalcitrant hemi-facial spasm with upper eyelid gold weight insertion. European Journal of Plastic Surgery, 1-4. doi:10.1007/s00238-017-1294-y


Author Beem, Henry
Dunn, Darryl
Peters, Matthew
Rowe, Kieran
Title Management of recalcitrant hemi-facial spasm with upper eyelid gold weight insertion
Journal name European Journal of Plastic Surgery   Check publisher's open access policy
ISSN 1435-0130
0930-343X
Publication date 2017-03-01
Sub-type Article (original research)
DOI 10.1007/s00238-017-1294-y
Open Access Status Not yet assessed
Start page 1
End page 4
Total pages 4
Place of publication Heidelberg, Germany
Publisher Springer
Collection year 2018
Language eng
Abstract Hemi-facial spasm (HFS) has a presentation of variable severity but is consistently troublesome for the affected individual who can suffer significant social embarrassment from the persistent and unpredictable facial twitching. Here, we present a case of a 62-year-old male with a 17-year history of left hemi-facial spasm secondary to compression of the facial nerve at the root exit zone by an ectatic ipsilateral posterior inferior cerebellar artery. His HFS failed neurosurgical intervention, and medical therapies were found to be ineffective or poorly tolerated. His HFS was noted to be exacerbated on forced eye closure and subsequently it was observed that he was compensating with incomplete eye closure on the affected side. Surgical placement of an upper lid gold weight has significantly diminished the severity and frequency of his HFS symptoms and obviated the need for an orbicularis oculi myectomy. Level of Evidence: Level V, therapeutic study.
Keyword Gold weight
Hemi-facial spasm
Surgery
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: HERDC Pre-Audit
School of Medicine Publications
 
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