Neurosurgical Department, The First Affiliated Hospital of Shenzhen University, Shenzhen Second People's Hospital, Shenzhen, China.
Neurosurgical Department, Beijing Tiantan Hospital, Capital Medical University, No. 119, South Fourth Ring West Road, Fengtai District, Beijing, 100070, China.
BMC Surg. 2021 Jan 6;21(1):27. doi: 10.1186/s12893-020-01025-x.
Primary facial spasm accompanied by arrhythmia is a rare clinical phenomenon and has not been reported before. We describe this phenomenon and discuss its mechanism and treatment.
We herein present a rare case of a patient with left primary facial spasm and a third-degree atrioventricular block (III degree AVB), who was implanted with a temporary cardiac pacemaker to receive microvascular decompression (MVD) because of refusal of a permanent cardiac pacemaker. The symptoms of facial spasm disappeared after MVD. The temporary cardiac pacemaker was removed on the second day after surgery. Her ECG still showed the third-degree atrioventricular block after a follow-up period of 5 months.
We are the first to report a patient with facial spasm and arrhythmia who was implanted with a temporary cardiac pacemaker to receive MVD. This case report demonstrated that the concomitant presence of a III degree AVB maybe not a contraindication for MVD, and the etiology of this facial spasm was the actual vascular compression of the facial nerve entry zone that was not related to the atrioventricular block.
伴发心律失常的原发性面肌痉挛是一种罕见的临床现象，以前尚未有报道。我们描述了这一现象，并讨论了其发生机制和治疗方法。
我们在此报告一例罕见的左侧原发性面肌痉挛伴三度房室传导阻滞（三度房室阻滞）患者，因拒绝植入永久性心脏起搏器而接受了临时心脏起搏器植入，并接受了微血管减压术（MVD）。MVD 术后面肌痉挛症状消失。术后第二天取出临时心脏起搏器。术后 5 个月随访时，其心电图仍显示三度房室阻滞。
我们首次报道了一例伴发心律失常的面肌痉挛患者，该患者植入临时心脏起搏器以接受 MVD 治疗。本病例报告表明，三度房室阻滞的存在可能不是 MVD 的禁忌证，且这种面肌痉挛的病因是面神经进入区的实际血管压迫，与房室阻滞无关。
