Hemifacial spasm in a patient with basilar artery dolichoectasia caused by uncontrolled hypertension

• Main Authors: Gordon S. Crabtree, David Gish, David Goldberg
• Format: Article
• Language: English
• Published: Taylor & Francis Group 2016-10-01
• Series: Journal of Community Hospital Internal Medicine Perspectives
• Subjects: hemifacial spasm; blepharospasm; basilar artery dolichoectasia; hypertension; botulinum toxin
• Online Access: http://www.jchimp.net/index.php/jchimp/article/view/32686/pdf_212

A 47-year-old male presented with a 2-year history of hemifacial spasm. Magnetic resonance imaging performed showed his tortuous basilar artery with nerve compression, and the patient was treated conservatively with botulinum toxin injections with complete resolution of symptoms. This rare disease was caused by his long history of hypertension, which led to his major basilar artery dolichoectasia.