Eeg facial spasm
Diagnosing Hemifacial Spasm
The patient underwent 4 Tesla EEG/fMRI ( cm bore Varian Unity INOVA system; Varian, Inc., Palo Alto, CA equipped with a.
Not everything that twitches is a seizure, and isolated hemifacial twitching with no other changed to focal motor seizures with the aid of EEG-video monitoring.
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Description:However, in HFS the twitches usually begin unilaterally about the eye and then spread to other facial muscles, but never beyond the territory of the facial nerve. Absence of ictal or interictal EEG abnormalities in partial epilepsies with sensorimotor symptoms is not uncommon and the paroxysmal and stereotyped nature of the attacks is highly suggestive of partial seizures. Common findings include a paroxysmal presentation, more generalized distribution of abnormal movements, and associated neurological deficits. Choreiform movements may be observed in the frontalis and other facial muscles in these patients. A review of the literature suggests that an underlying space occupying lesion such as tumour causing HFS is not common. Nielsen demonstrated that in HFS, stimulation of the zygomatic branch of the compressed facial nerve results in the expected response in the orbicularis oculi muscle but also a simultaneous response in the mentalis muscle, which is supplied by the mandibular branch.