Therapeutic considerations in cerebellopontine angle lipomas inducing hemifacial spasm.
Lipoma is a very rare tumour at the cerebellopontine angle. We report a case of incomplete hemifacial spasm, associated with a lipoma involving and compressing both facial and acoustic nerves at their origin in the brainstem. The patient was treated with medical therapy (botulinum toxin A) and surgery. We present a review of the last ten years of the literature, with particular regard to management.
Ruggieri
R M
RM
Institute of Neuropsychiatry, University of Palermo, Via G. La Loggia 1, I-90129 Palermo, Italy.
Manfrè
L
L
Calbucci
F
F
Piccoli
F
F
D019274:Botulinum Toxins, Type A / Q000627:therapeutic use; D002528:Cerebellar Neoplasms / Q000150:complications* / Q000601:surgery / Q000628:therapy*; D002530:Cerebellopontine Angle / Q000601:surgery*; D005260:Female; D019569:Hemifacial Spasm / Q000209:etiology*; D006801:Humans; D008067:Lipoma / Q000150:complications* / Q000601:surgery / Q000628:therapy*; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D009465:Neuromuscular Agents / Q000627:therapeutic use; D016896:Treatment Outcome
D009465:Neuromuscular Agents; D019274:Botulinum Toxins, Type A