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      Hemifacial spasm: a neurosurgical perspective.

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          Abstract

          Hemifacial spasm (HFS) is characterized by tonic clonic contractions of the muscles innervated by the ipsilateral facial nerve. Compression of the facial nerve by an ectatic vessel is widely recognized as the most common underlying etiology. HFS needs to be differentiated from other causes of facial spasms, such as facial tic, ocular myokymia, and blepharospasm. To understand the overall craniofacial abnormalities and to perform the optimal surgical procedures for HFS, we are to review the prevalence, pathophysiology, differential diagnosis, details of each treatment modality, usefulness of brainstem auditory evoked potentials monitoring, debates on the facial EMG, clinical course, and complications from the literature published from 1995 to the present time.

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          Author and article information

          Journal
          J Korean Neurosurg Soc
          Journal of Korean Neurosurgical Society
          2005-3711
          1225-8245
          Nov 2007
          : 42
          : 5
          Affiliations
          [1 ] Department of Neurosurgery, Samsung Medical Center, Sungkyunkwan University, School of Medicine, Seoul, Korea.
          Article
          10.3340/jkns.2007.42.5.355
          19096569
          20c9dbdd-01c4-4d1d-8c33-c2f336b8738c

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