An unusual case of vascular loop syndrome.
Coexistence of hemifacial spasm (HFS) and trigeminal neuralgia (TN) is a rare entity known as painful tic convulsif (PTC). Here, we present a case of right-sided HFS after which left TN developed, which is an unusual form of PTC. Both disorders were caused by bilateral vascular compression of the cranial nerves and successfully treated with botulinum toxin and carbamazepine. As PTC is benign in nature and can be treated with botulinum toxin, neuroradiological investigations should be performed for an accurate aetiological diagnosis, particularly in young patients with atypical disease manifestations.
Uluduz
Derya
D
Department of Neurology, Cerrahpasa Medical Faculty, Istanbul University, 34098, Kocamustafapasa, Istanbul, Turkey.
Karaali-Savrun
Feray
F
Gunduz
Aysegul
A
Kiziltan
Meral E
ME
D000368:Aged; D000927:Anticonvulsants / Q000627:therapeutic use; D001488:Basilar Artery / Q000473:pathology* / Q000503:physiopathology; D001905:Botulinum Toxins / Q000627:therapeutic use; D002220:Carbamazepine / Q000627:therapeutic use; D002561:Cerebrovascular Disorders / Q000150:complications* / Q000473:pathology* / Q000503:physiopathology; D003937:Diagnosis, Differential; D005154:Facial Nerve / Q000098:blood supply / Q000473:pathology / Q000503:physiopathology; D019569:Hemifacial Spasm / Q000188:drug therapy / Q000209:etiology* / Q000503:physiopathology; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D009465:Neuromuscular Agents / Q000627:therapeutic use; D016896:Treatment Outcome; D014276:Trigeminal Nerve / Q000098:blood supply / Q000473:pathology / Q000503:physiopathology; D014277:Trigeminal Neuralgia / Q000188:drug therapy / Q000209:etiology* / Q000503:physiopathology
D000927:Anticonvulsants; D009465:Neuromuscular Agents; D002220:Carbamazepine; D001905:Botulinum Toxins