Parotid tumor presenting with hemifacial spasm.
A 47-year-old man presented with right parotid swelling and a history of frequent attacks of hemifacial spasm. MRI of the brain and neck showed a mass in the right parotid gland. Fine needle aspiration biopsy of the mass revealed a pleomorphic adenoma of the parotid gland, which was confirmed after total right parotidectomy. His attacks of hemifacial spasm did not improve after surgery and 8 months postoperatively, he received botulinum toxin-A injections, which improved his symptoms. Clinicians need to be aware that patients with occult parotid tumors can present like patients with classic hemifacial spasm.
Behbehani
Raed
R
Oculoplasic and Orbital Surgery Service, Ibn Sina Hospital, Kuwait City, Kuwait. r_behbehani@hotmail.com
Hussain
Abdulmohsen E
AE
Hussain
Ali N
AN
D008949:Adenoma, Pleomorphic / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D019274:Botulinum Toxins, Type A / Q000627:therapeutic use; D019569:Hemifacial Spasm / Q000188:drug therapy / Q000209:etiology*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009465:Neuromuscular Agents / Q000627:therapeutic use; D010307:Parotid Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D019233:Retreatment; D016896:Treatment Outcome
D009465:Neuromuscular Agents; D019274:Botulinum Toxins, Type A