Hemifacial spasm in a patient with basilar artery dolichoectasia caused by uncontrolled hypertension

A 47-year-old male presented with a 2-year history of hemifacial spasm. Magnetic resonance imaging performed showed his tortuous basilar artery with nerve compression, and the patient was treated conservatively with botulinum toxin injections with complete resolution of symptoms. This rare disease w...

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Bibliographic Details
Published inJournal of community hospital internal medicine perspectives Vol. 6; no. 5; pp. 32686 - 2
Main Authors Crabtree, Gordon S, Gish, David, Goldberg, David
Format Journal Article
LanguageEnglish
Published United States Greater Baltimore Medical Center 26.10.2016
Co-Action Publishing
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Summary:A 47-year-old male presented with a 2-year history of hemifacial spasm. Magnetic resonance imaging performed showed his tortuous basilar artery with nerve compression, and the patient was treated conservatively with botulinum toxin injections with complete resolution of symptoms. This rare disease was caused by his long history of hypertension, which led to his major basilar artery dolichoectasia.
ISSN:2000-9666
2000-9666
DOI:10.3402/jchimp.v6.32686