[Finally an effective treatment of facial hemispasm?].
In the absence of a known or generally admitted etiopathogeneicity, and as a result of failure of medical treatment for facial hemispasm, various surgical procedures have been proposed to alleviate this affection. Two types of operation can be distinguished: muscle resection and facial nerve surgery. The latter includes alcohol injection, combining of the 2nd part of the nerve, neurotomy, or neurectomy of the main or distal portions. However, recurrence is very frequent. Two cases were treated by evulsion of the suborbital nerve with marked success, all the above-mentioned procedures having been employed in one of these cases. Though it is too early to speak of recovery, there was no associated motor deficiency, particularly in the regions of the eye and labial commissure. These findings evoke possible relationships between facial and trigeminal nerves, a peripheral motor stimulus-response process providing an explanation for the hemispasm and its cure after evulsion of the suborbital nerve.
D000328:Adult; D000368:Aged; D005152:Facial Muscles / Q000601:surgery; D005154:Facial Nerve / Q000601:surgery; D005260:Female; D006801:Humans; D008722:Methods; D012086:Reoperation; D013981:Tic Disorders / Q000601:surgery*; D014276:Trigeminal Nerve / Q000601:surgery
Un traitement enfin efficace de l'hémispasme facial?