title: Hemifacial spasm and trigeminal neuralgia in Chiari's I malformation with hydrocephalus: case report and literature review.
abstract: Chiari's I malformation with hydrocephalus is commonly seen in clinical experience. Trigeminal neuralgia (TN) and hemifacial spasm (HFS) are most commonly related to vascular compression of the root entry/enter zone (REZ). Until now, TN and HFS associated with hydrocephalus caused by Chiari's malformation have not been reported. The patient was a 24-year old male with left HFS and ipsilateral TN. Arnold-Chiari's I malformation with hydrocephalus and platybasia were found in magnetic resonance imaging (MRI) of brain. We underwent a programmable ventriculoperitoneal shunt with complete resolution of all symptoms. This is the first report of one case only presenting as coexistent ipsilateral TN and HFS secondary to Chiari's I malformation with hydrocephalus.
authors.affiliation: Department of Neurosurgery, China-Japan Friendship Hospital, Beijing 100029, China.
authors.forename: Jiang
authors.initials: J
authors.lastname: Liu
authors.affiliation: Department of Neurosurgery, China-Japan Friendship Hospital, Beijing 100029, China.
authors.forename: Yue
authors.initials: Y
authors.lastname: Yuan
authors.affiliation: Department of Neurosurgery, China-Japan Friendship Hospital, Beijing 100029, China.
authors.forename: Li
authors.initials: L
authors.lastname: Zang
authors.affiliation: Department of International Medicine, China-Japan Friendship Hospital, Beijing 100029, China.
authors.forename: Ying
authors.initials: Y
authors.lastname: Fang
authors.affiliation: Department of Neurosurgery, China-Japan Friendship Hospital, Beijing 100029, China.
authors.forename: Hongjun
authors.initials: H
authors.lastname: Liu
authors.affiliation: Department of Neurosurgery, China-Japan Friendship Hospital, Beijing 100029, China. Electronic address: yuyanbing123@126.com.
authors.forename: Yanbing
authors.initials: Y
authors.lastname: Yu
mesh_terms: D000328:Adult; D001139:Arnold-Chiari Malformation / Q000150:complications* / Q000601:surgery; D019569:Hemifacial Spasm / Q000209:etiology* / Q000601:surgery; D006801:Humans; D006849:Hydrocephalus / Q000150:complications* / Q000601:surgery; D008297:Male; D016896:Treatment Outcome; D014277:Trigeminal Neuralgia / Q000209:etiology* / Q000601:surgery; D017287:Ventriculoperitoneal Shunt; D055815:Young Adult
keywords: Chiari’s I malformation; Hemifacial spasm; Hydrocephalus; Trigeminal neuralgia