title: Progressive facial hemiatrophy revisited: a role for sympathetic dysfunction.
abstract: OBJECTIVE
  To report a case of progressive facial hemiatrophy with unusual features of contralateral brain atrophy and transcranial Doppler ultrasound evidence of autonomic dysfunction.
  
  
  METHODS
  Case report.
  
  
  METHODS
  A teaching hospital.
  
  
  METHODS
  A 63-year-old man who presented with a 10-year history of progressive right-sided facial atrophy and recent facial pain.
  
  
  RESULTS
  Brain magnetic resonance imaging revealed left frontoparietal atrophy. Transcranial Doppler ultrasound demonstrated evidence of autonomic dysfunction ipsilateral to brain atrophy.
  
  
  CONCLUSIONS
  This case expands the spectrum of findings in progressive facial hemiatrophy to include contralateral brain atrophy and suggests that sympathetic dysfunction might play a pathogenic role in progressive facial hemiatrophy.
authors.affiliation: Department of Neurology, First Norman Bethune Hospital of Jilin University, Changchun, China.
authors.forename: Zhen-Ni
authors.initials: ZN
authors.lastname: Guo
authors.forename: Hong-Liang
authors.initials: HL
authors.lastname: Zhang
authors.forename: Hong-Wei
authors.initials: HW
authors.lastname: Zhou
authors.forename: Wen-Jing
authors.initials: WJ
authors.lastname: Lan
authors.forename: Jiang
authors.initials: J
authors.lastname: Wu
authors.forename: Yi
authors.initials: Y
authors.lastname: Yang
mesh_terms: D001342:Autonomic Nervous System Diseases / Q000175:diagnosis* / Q000503:physiopathology*; D005150:Facial Hemiatrophy / Q000175:diagnosis* / Q000503:physiopathology*; D006801:Humans; D008297:Male; D008875:Middle Aged