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黏多糖贮积症VI型(马罗托-拉米综合征)中的半面痉挛。

Hemifacial Spasm in Mucopolysaccharidosis Type VI (Maroteaux-Lamy Syndrome).

作者信息

Karir Aneesh, Geraghty Michael, Vassilyadi Michael, Doja Asif

机构信息

University of Ottawa Faculty of Medicine, Ottawa, ON, Canada.

Division of Metabolics, Children's Hospital of Eastern Ontario, Ottawa, ON, Canada.

出版信息

Tremor Other Hyperkinet Mov (N Y). 2018 Jun 1;8:548. doi: 10.7916/D8SX7WFQ. eCollection 2018.

DOI:10.7916/D8SX7WFQ
PMID:29971196
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6026275/
Abstract

BACKGROUND

Hemifacial spasms are involuntary contractions of the muscles of one side of the face.

CASE REPORT

Here, we report a 5-year-old female patient with a significant past medical history, including mucopolysaccharidosis type VI, who also presented with hemifacial spasms. Further investigations showed narrowing of skull foramina and hydrocephalus, but no compression of the facial nerve. Carbamazepine was given to the patient, which caused cessation of the spasms.

DISCUSSION

Currently, there is no literature discussing the relationship between hemifacial spasms and mucopolysaccharidosis type VI; we have proposed that mucopolysaccharide deposits or dural thickening may contribute to nerve irritation.

摘要

背景

半面痉挛是一侧面部肌肉的不自主收缩。

病例报告

在此,我们报告一名5岁女性患者,其有重要的既往病史,包括VI型黏多糖贮积症,该患者也出现了半面痉挛。进一步检查显示颅骨孔道狭窄和脑积水,但面神经无受压。给予患者卡马西平后,痉挛停止。

讨论

目前,尚无文献讨论半面痉挛与VI型黏多糖贮积症之间的关系;我们提出黏多糖沉积或硬脑膜增厚可能导致神经刺激。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/adb0/6026275/58e2d9019e87/tre-08-548-7522-1-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/adb0/6026275/58e2d9019e87/tre-08-548-7522-1-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/adb0/6026275/58e2d9019e87/tre-08-548-7522-1-g001.jpg

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本文引用的文献

1
Hemifacial spasm: The past, present and future.面肌痉挛:过去、现在与未来。
J Neurol Sci. 2015 Sep 15;356(1-2):27-31. doi: 10.1016/j.jns.2015.06.032. Epub 2015 Jun 16.
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Mucopolysaccharidosis VI.黏多糖贮积症 VI 型。
Orphanet J Rare Dis. 2010 Apr 12;5:5. doi: 10.1186/1750-1172-5-5.
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Disappearance of hemifacial spasm after ventriculoperitoneal shunting in a patient with achondroplasia--case report.一名软骨发育不全患者行脑室腹腔分流术后半面痉挛消失——病例报告
Neurol Med Chir (Tokyo). 2005 Feb;45(2):104-7. doi: 10.2176/nmc.45.104.
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Hemifacial spasm and involuntary facial movements.半面痉挛和面部不自主运动。
QJM. 2002 Aug;95(8):493-500. doi: 10.1093/qjmed/95.8.493.
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Mucopolysaccharidosis type VI: Structural and clinical implications of mutations in N-acetylgalactosamine-4-sulfatase.VI型黏多糖贮积症:N-乙酰半乳糖胺-4-硫酸酯酶突变的结构和临床意义
Hum Mutat. 2001 Oct;18(4):282-95. doi: 10.1002/humu.1190.
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Hemifacial spasm: clinical findings and treatment.面肌痉挛:临床发现与治疗
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