Machado Flavia Costa Nunes, Fregni Felipe, Campos Cynthia Resende, Limongi João Carlos Papaterra
Departamento de Neurologia, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brasil.
Arq Neuropsiquiatr. 2003 Mar;61(1):115-8. doi: 10.1590/s0004-282x2003000100023. Epub 2003 Apr 16.
Bilateral hemifacial spasm (BHS) is a rare focal movement disorder often associated with vascular compression of both facial nerves. The contractions are usually asymmetric and asynchronous. Typically, one side is affected first and there is a long but variable interval for the symptoms on the other side to occur. BHS must be differentiated from other conditions including blefarospasm, facial myokymia, facial tics, oromandibular dystonia, and hemimasticatory spasm. The most successful and non-invasive symtomatic treatment is botulinum toxin injections but microvascular decompression surgery is another therapeutic option. We report the case of a 70 years old man with bilateral hemifacial spasms and present a brief review of the literature.
双侧半面痉挛（BHS）是一种罕见的局灶性运动障碍，常与双侧面神经血管压迫有关。收缩通常不对称且不同步。通常，一侧先受影响，另一侧出现症状的间隔时间较长但不固定。BHS必须与其他疾病相鉴别，包括眼睑痉挛、面部肌纤维颤搐、面部抽搐、口下颌肌张力障碍和半侧咀嚼肌痉挛。最成功且无创的对症治疗是肉毒杆菌毒素注射，但微血管减压手术是另一种治疗选择。我们报告了一例70岁双侧半面痉挛男性患者的病例，并对相关文献进行简要综述。
