Rakover Y, Dharan M, Rosen G
Department of Otorhinolaryngology, Central Emek Hospital, Afula, Israel.
J Laryngol Otol. 1996 Nov;110(11):1081-3. doi: 10.1017/s0022215100135819.
We report a unique case of hemifacial spasm due to compression of the facial nerve by the main trunk of the external carotid artery within the parotid space. Decompression of the facial nerve as well as partial section of the proximal trunk of the nerve, caused the hemifacial spasm to disappear. Our case gives support to the theory that hemifacial spasm can be caused by pressure on the facial nerve along all its course and not only in its intra-cranial portion.
我们报告了一例独特的半面痉挛病例,病因是腮腺间隙内颈外动脉主干对面神经的压迫。面神经减压以及神经近端主干的部分切断,使半面痉挛消失。我们的病例支持了这样一种理论,即半面痉挛可由面神经全程受压引起,而不仅仅是颅内部分受压。