A rare case of unilateral hemifacial spasm and facial palsy associated with an abnormal anatomical variant of the posterior basilar circulation.

Chan, J, Jolly, K, Darr, A and Bowyer, D J (2019) A rare case of unilateral hemifacial spasm and facial palsy associated with an abnormal anatomical variant of the posterior basilar circulation. Annals of the Royal College of Surgeons of England, 101 (6). e1-e3. ISSN 1478-7083. This article is available to all UHB staff and students via ASK Discovery tool http://tinyurl.com/z795c8c by using their UHB Athens login IDs

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Abstract

Tortuous vertebral arteries are a rare anatomical variant. Mild tortuosity is usually asymptomatic whereas severe tortuosity may present with ischaemic symptoms or compressive symptoms (focal neurological deficit). While a resulting hemifacial spasm has been previously described, sparse literature exists for its association with facial palsy. We present a rare case of facial spasm along with facial palsy in a 67-year-old woman who was found to have an anatomical variant in the posterior basilar circulation with an ectatic basilar artery and significantly displaced posterior vertebral artery impinging on the facial nerve.

Item Type:	Article
Additional Information:	This article is available to all UHB staff and students via ASK Discovery tool http://tinyurl.com/z795c8c by using their UHB Athens login IDs
Subjects:	WV Otorhinolaryngology. ENT medicine
Divisions:	Ambulatory Care > ENT
Related URLs:	https://www.ncbi.nlm.nih.gov/pubmed/3115...
Depositing User:	Mr Philip O'Reilly
Date Deposited:	05 Jul 2019 15:16
Last Modified:	05 Jul 2019 15:16
URI:	http://www.repository.uhblibrary.co.uk/id/eprint/2217

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