title: Topiramate as treatment for hemifacial spasm.
abstract: OBJECTIVE
  To report a patient with hemifacial spasm (HFS) which improved with topiramate.
  
  
  METHODS
  A 52-year-old woman diagnosed with migraine, who also had a right HFS, did experience a marked improvement of HFS after introduction of topiramate as prophylactic therapy for her migraine episodes. Topiramate withdrawal led to reappearance of HFS, which improved again after its reintroduction.
  
  
  CONCLUSIONS
  Topiramate should be considered as a possible therapy for HFS.
authors.affiliation: Sección de Neurología, Hospital Virgen de la Concha, Zamora, Spain.
authors.forename: Hortensia
authors.initials: H
authors.lastname: Alonso-Navarro
authors.forename: Lluisa
authors.initials: L
authors.lastname: Rubio
authors.forename: Félix Javier
authors.initials: FJ
authors.lastname: Jiménez-Jiménez
mesh_terms: D005260:Female; D005632:Fructose / Q000031:analogs & derivatives* / Q000627:therapeutic use; D019569:Hemifacial Spasm / Q000188:drug therapy*; D006801:Humans; D008875:Middle Aged; D018696:Neuroprotective Agents / Q000627:therapeutic use*; D000077236:Topiramate
chemical_list: D018696:Neuroprotective Agents; D000077236:Topiramate; D005632:Fructose