Telischi F F, Grobman L R, Sheremata W A, Apple M, Ayyar R
Department of Otolaryngology, University of Miami School of Medicine, FL 33136.
Arch Otolaryngol Head Neck Surg. 1991 May;117(5):554-6. doi: 10.1001/archotol.1991.01870170100022.
We present six patients with hemifacial spasm and multiple sclerosis. To our knowledge, this association has not been described previously in the North American literature. Magnetic resonance imaging was obtained in all the patients and plaques consistent with multiple sclerosis were identified. In two patients the plaques were seen in the area of the facial nucleus on the involved side. We suggest that hemifacial spasm can be a manifestation of multiple sclerosis. These cases illustrate the utility of magnetic resonance imaging in the investigation of hemifacial spasm. Our findings also support a central (nuclear) origin in multiple sclerosis associated with hemifacial spasm.
我们报告了6例患有半面痉挛和多发性硬化症的患者。据我们所知，北美文献中此前尚未描述过这种关联。所有患者均接受了磁共振成像检查，并发现了与多发性硬化症相符的斑块。在2例患者中，斑块出现在患侧面神经核区域。我们认为半面痉挛可能是多发性硬化症的一种表现。这些病例说明了磁共振成像在半面痉挛检查中的作用。我们的研究结果也支持了与半面痉挛相关的多发性硬化症的中枢（核）起源。
