Hemifacial spasm. Parkinson's Disease Center and Movement Disorders Clinic
|
|
- Iris Murphy
- 6 years ago
- Views:
Transcription
1 Parkinson's Disease Center and Movement Disorders Clinic 7200 Cambridge Street, 9th Floor, Suite 9A Houston, Texas phone Hemifacial spasm Diagnosis Hemifacial spasm (HFS) is a neurological disorder manifested by twitching on one side of the face due to involuntary contractions of the eyelid and other facial muscles. It usually begins gradually around one eye and may eventually spread the muscles around the mouth and neck on the same side. These muscle spasms are very brief but occur rapidly and repetitively. They are generally not painful, but may impact vision because of involuntary eye closure. In contrast to blepharospasm, a form of focal dystonia, HFS involves only one side of the face. Very rarely, both sides of the face may become affected in HFS, but the contractions remain asymmetric and independent of each other. The facial spasms are often noticed by others and can be a source of embarrassment to the patient. HFS can sometimes be triggered by voluntary contraction of certain facial muscles, especially puckering the lips or after forcefully closing eyes. Stressful situations or fatigue may also worsen the spasms. Estimates suggest that one in ten thousand people have HFS and it usually presents in the 5th or 6th decade. It may be somewhat more common in women than in men and it is more frequently seen in the Asian population. An experienced neurologist can usually diagnose HFS by simply observing it and an electrical nerve study known as an EMG is rarely needed. If atypical features such as facial numbness or hearing loss are present, then a neuroimaging study, such as an MRI or MRA, may be useful. Cause Most of the cases of HFS do not have an obvious cause. They are called idiopathic. However, it is often attributable to a compression of the facial nerve as it exits from the brainstem. This nerve supplies muscle power to the facial and 1
2 superficial neck muscles. In most, cases the compression is from a hardened and/or displaced blood vessel near the base of the brain. The compression then causes an irritation in the nerve, which fires independently. When the nerve fires, the signal is misdirected to other parts of the nerve causing muscle contractions in different areas of the face on the same side. A competing hypothesis states that HFS is due to abnormality of the facial motor nucleus in the brainstem. Injuries to the facial nerve can also result in secondary HFS. After the damage, the facial nerve later grows back, which can occur imperfectly and resulting in spontaneous firing and subsequent involuntary contractions of the facial muscles. Patients who had Bell`s palsy can develop HFS. Bell`s palsy occurs due to a viral inflammation of the facial nerve, which results in weakness in one side of the face. Recovery of the weakness is very common, but the patients can develop HFS months or even years after. Other uncommon causes include aneurysms, brain tumors, trauma and demyelinating diseases such as multiple sclerosis. Treatment Currently, most physicians consider botulinum toxin injections to be the optimal treatment. This protein is injected directly into the affected muscles. At relatively low doses, it relaxes the affected muscles enough to prevent the spasms without causing paralysis. The improvement occurs within 3-4 days and lasts an average of 4-6 months. Repeat injections are then required at varying intervals depending on each individual's response. In the hands of a well-trained practitioner, the procedure is very safe. Potential side effects include an eyelid droop, facial weakness or increased tearing, all of which resolves over time. Medications used for seizures such as carbamazepine, phenytoin and clonazepam, and muscle relaxing medications such as diazepam, baclofen and trihexyphenidyl, are only rarely helpful. Also, their use is often associated with adverse side effects. In refractory cases in which there is evidence of compression of the nerve by an abnormal brain vessel, a neurosurgical procedure known as microvascular decompression should be considered. While it has a favorable long-term outcome, it is an involved procedure requiring general anesthesia in order to remove of a 3
3 portion of the skull, expose the brainstem and dissect the offending blood vessel away from the facial nerve. The most common complication is weakness of the facial muscles, which can be noted immediately after the procedure or several days after. Other potential complications include hearing loss, infection, hemorrhage and stroke. Selected References Baizabal-Carvallo JF, Jankovic J. Distinguishing features of psychogenic (functional) versus organic hemifacial spasm. J Neurol. 2017;264(2): Chan LL, Ng KM, Fook-Chong S, Lo YL, Tan EK. Three-dimensional MR volumetric analysis of the posterior fossa CSF space in hemifacial spasm. Neurology. 2009;73: Felício AC, Godeiro-Junior CO, Borges V, Silva SM, Ferraz HB. Bilateral hemifacial spasm: A series of 10 patients with literature review. Parkinsonism Relat Disord. 2008;14: Hallet M, Albanese A, Dressler D, Segal KR, Simpson DM, Truong D, Jankovic J. Evidence-based review and assessment of botulinum neurotoxin for the treatment of movement disorders. Toxicon. 2013;67: Jankovic J. Peripherally-induced movement disorders. Neurologic Clinics. 2009;27: Jankovic J. Botulinum toxin: state of the art. Mov Disord. 2017;32(8): Kenney C, Jankovic J. Botulinum toxin in the treatment of blepharospasm and hemifacial spasm. J Neural Transm.2008;115(4): Jung NY, Lee SW, Park CK, Chang WS, Jung HH, Chang JW. Hearing outcome following microvascular decompression for hemifacial spasm: series of 1434 cases. World Neurosurg [Epub ahead of print.] Lee JM, Park HR, Choi YD, Kim SM, Jeon B, Kim HJ, Kim DG, Paek SH. Delayed facial palsy after microvascular decompression for hemifacial spasm: friend or foe? J Neurosurg. 2017;1:1-9. Mehanna R, Jankovic J. Movement disorders in multiple sclerosis and other demyelinating diseases. J Neurol Sci. 2013;328(1):1-8. 4
4 Wu Y, Davidson AL, Pan T, Jankovic J. Asian over-representation among patients with hemifacial spasm compared to patients with cranial-cervical dystonia. J Neurol Sci. 2010;298(1-2): Yaltho TC, Jankovic J. The many faces of hemifacial spasm: differential diagnosis of unilateral facial spasms. Mov Disord. 2011;26(9): Zhao H, Zhang X, Tang YD, Zhang Y, Ying TT, Zhu J, Li ST. Operative complications of microvascular decompression for hemifacial spasm: lessons from experience of 1548 cases. World Neurosurg. 2017;107:
5 Support Organizations Benign Essential Blepharospasm Research Foundation P.O. Box Beaumont, TX Phone: (409) Fax: (409) Comment [AI1]: This was the supportive group that was in the prior file. I did not find a supportive group specific HFS. 6
THE CLINICAL USE OF BOTULINUM TOXIN IN THE TREATMENT OF MOVEMENT DISORDERS, SPASTICITY, AND SOFT TISSUE PAIN
THE CLINICAL USE OF BOTULINUM TOXIN IN THE TREATMENT OF MOVEMENT DISORDERS, SPASTICITY, AND SOFT TISSUE PAIN Spasmodic torticollis (cervical dystonia), blepharospasm, and writer s cramp are specific types
More informationParkinson's Disease Center and Movement Disorders Clinic
Parkinson's Disease Center and Movement Disorders Clinic 7200 Cambridge Street, 9th Floor, Suite 9A Houston, Texas 77030 713-798-2273 phone www.jankovic.org Blepharospasm Diagnosis Involuntary facial movements
More informationDOWNLOAD OR READ : REVERSING HEMIFACIAL SPASM PDF EBOOK EPUB MOBI
DOWNLOAD OR READ : REVERSING HEMIFACIAL SPASM PDF EBOOK EPUB MOBI Page 1 Page 2 reversing hemifacial spasm reversing hemifacial spasm pdf reversing hemifacial spasm reversing hemifacial spasm Smallpdf
More informationHemifacial Spasm in Singapore: Clinical Characteristics and Patients Perceptions
324 Original Article Hemifacial Spasm in Singapore: Clinical Characteristics and Patients Perceptions WL Au, 1 FAMS, MRCP (UK), LCS Tan, 2 FAMS, MRCP (UK), AKY Tan, 3 FAMS, MRCP (UK) Abstract Introduction:
More informationParkinson's Disease Center and Movement Disorders Clinic
Parkinson's Disease Center and Movement Disorders Clinic 7200 Cambridge Street, 9th Floor, Suite 9A Houston, Texas 77030 713-798-2273 phone www.jankovic.org Dystonia Diagnosis Dystonia is a neurologic
More informationThis guide describes some of the important facts about Neurobloc that you need to be aware of, however, it does not replace the advice given to you
This guide describes some of the important facts about Neurobloc that you need to be aware of, however, it does not replace the advice given to you by a healthcare professional. Further very important
More informationSource: *Dystonia facts medically edited by: Charles Patrick Davis, MD, PhD
Source: http://www.medicinenet.com/script/main/art.asp?articlekey=349 Dystonia facts* *Dystonia facts medically edited by: Charles Patrick Davis, MD, PhD Dystonia is a disorder of muscle control; it can
More informationLong-term Efficacy of Botulinum Neurotoxin-A Treatment for Essential Blepharospasm
pissn: 111-8942 eissn: 292-9382 Korean J Ophthalmol 218;32(1):1-7 https://doi.org/1.3341/kjo.217.3 Original Article Long-term Efficacy of Botulinum Neurotoxin-A Treatment for Essential Blepharospasm Seunghyun
More informationDystonia. The condition can vary from very mild to severe. Dystonia may get worse over time or it may stay the same or get better.
Dystonia What are movement disorders? Movement disorders are conditions that cause involuntary body movements. With all movement disorders, abnormal signals from the brain cause patients to have trouble
More informationBlepharospasm (eyelid spasm)
Opthalmology department Blepharospasm (eyelid spasm) Information for patients, relatives and carers What is blepharospasm? Blepharospasm is a condition in which the eyelid(s) go into spasm and close in
More informationPallidal Deep Brain Stimulation
Pallidal Deep Brain Stimulation Treatment for Dystonia Dystonia Dystonia is a neurological disorder characterized by involuntary muscle contractions resulting in abnormal postures. These movements may
More informationIN ADUL T SUBJECTS WITH BLEPHAROSPASM ACROSS DOSING INTE R VAL S
Poster number 609 INCOBOT UL INUMT OXINA (NT -201) I NJ E C T I ONS A R E SAFE AND EFFECTIVE IN ADUL T SUBJECTS WITH BLEPHAROSPASM ACROSS DOSING INTE R VAL S IN A REPEATED DOSE ST UDY Matthew Brodsky,
More informationParkinson's Disease Center and Movement Disorders Clinic
Parkinson's Disease Center and Movement Disorders Clinic 7200 Cambridge Street, 9th Floor, Suite 9A Houston, Texas 77030 713-798-2273 phone pdcmdc@bcm.edu www.jankovic.org Essential Tremor Tremor, an oscillatory
More informationDystonia: Title. A real pain in the neck. in All the Wrong Places
Focus on CME at the University of Western Ontario Dystonia: Title in All the Wrong Places A real pain in the neck By Mandar Jog, MD, FRCPC and; Mary Jenkins, MD, FRCPC What is dystonia? Dystonia is a neurologic
More informationINTRAOPERATIVE NEUROPHYSIOLOGICAL MONITORING FOR MICROVASCULAR DECOMPRESSION SURGERY IN PATIENTS WITH HEMIFACIAL SPASM
INTRAOPERATIVE NEUROPHYSIOLOGICAL MONITORING FOR MICROVASCULAR DECOMPRESSION SURGERY IN PATIENTS WITH HEMIFACIAL SPASM WILLIAM D. MUSTAIN, PH.D., CNIM, BCS-IOM DEPARTMENT OF OTOLARYNGOLOGY AND COMMUNICATIVE
More informationUnderstanding Dystonia
Understanding Dystonia Sand Sharks Anthony Richardsen, Lindsey Rathbun, Evan Harrington, Chris Erzen The Essentials What, Why, How What is Dystonia? Dystonias are movement disorders often characterized
More informationDystonias. How are the dystonias classified? One way of classifying the dystonias is according to the parts of the body they affect:
Dystonias What are the dystonias? The dystonias are movement disorders in which sustained muscle contractions cause twisting and repetitive movements or abnormal postures. The movements, which are involuntary
More informationDYSPORT (Clostridium botulinum type A toxin-haemagglutinin complex)
DYSPORT (Clostridium botulinum type A toxin-haemagglutinin complex) CONSUMER MEDICINE INFORMATION What is in this leaflet This leaflet answers some common questions about Dysport. It does not contain all
More informationDISORDERS OF THE NERVOUS SYSTEM
DISORDERS OF THE NERVOUS SYSTEM Bell Work What s your reaction time? Go to this website and check it out: https://www.justpark.com/creative/reaction-timetest/ Read the following brief article and summarize
More informationBotox , The Patient Education Institute, Inc. rxf60101 Last reviewed: 01/11/2018 1
Botox Introduction Botox is a well known brand name for a medicinal form of a toxin, or poison. When injected in small doses into specific muscles, Botox doesn't poison you. Instead, it acts as a muscle
More informationProfessor Tim Anderson
Professor Tim Anderson Neurologist University of Otago Christchurch 11:00-11:55 WS #91: Shakes Jerks and Spasms - Recognition and Differential Diagnosis 12:05-13:00 WS #102: Shakes Jerks and Spasms - Recognition
More informationIt s Always a Stroke; Except For When It s Not..
It s Always a Stroke; Except For When It s Not.. TREVOR PHINNEY, D.O. Disclosures No Relevant Disclosures 1 Objectives Discuss variables of differential diagnosis for stroke Review when to TPA and when
More informationClare Gaduzo BSc RMN Registered Aesthetics Practitioner (qualified with Medics Direct)
Clare Gaduzo BSc RMN Registered Aesthetics Practitioner (qualified with Medics Direct) 07935567067 cjg.aesthetics@yahoo.co.uk www.cjgaesthetics.co.uk http://www.facebook.com/cjgaesthetics @CJGAesthetics
More informationBotulinum toxin injections for hemifacial spasm
University Teaching Trust Botulinum toxin injections for hemifacial spasm Turnberg Building Neurology 0161 206 2562 All Rights Reserved 2017. Document for issue as handout. About botulinum toxin injection
More informationDYSPORT (Clostridium botulinum type A toxin-haemagglutinin complex)
DYSPORT (Clostridium botulinum type A toxin-haemagglutinin complex) CONSUMER MEDICINE INFORMATION What is in this leaflet This leaflet answers some common questions about Dysport. It does not contain all
More informationPsychogenic Movement Disorders
Parkinson's Disease Center and Movement Disorders Clinic 7200 Cambridge Street, 9th Floor, Suite 9A Houston, Texas 77030 713-798-2273 phone pdcmdc@bcm.edu www.jankovic.org Psychogenic Movement Disorders
More informationTrigeminal Neuralgia Genetic Information Sheet
Trigeminal Neuralgia Genetic Information Sheet **AFFECTED PARTICIPANT** *Please note Yale does not receive samples from HIV or Hepatitis positive participants* Please include as much information as possible
More informationParkinson's Disease Center and Movement Disorders Clinic
Parkinson's Disease Center and Movement Disorders Clinic 7200 Cambridge Street, 9th Floor, Suite 9A Houston, Texas 77030 713-798-2273 phone www.jankovic.org Botulinum Toxin Botulinum toxin (BTX) has been
More informationVascular tortuosity in relationship with hypertension and posterior fossa volume in hemifacial spasm
Edmond et al. BMC Neurology (2016) 16:120 DOI 10.1186/s12883-016-0634-z RESEARCH ARTICLE Vascular tortuosity in relationship with hypertension and posterior fossa volume in hemifacial spasm Evan Cyril
More informationParkinson's Disease Center and Movement Disorders Clinic
Parkinson's Disease Center and Movement Disorders Clinic 7200 Cambridge Street, 9th Floor, Suite 9A Houston, Texas 77030 713-798-2273 phone pdcmdc@bcm.edu www.jankovic.org Myoclonus Diagnosis Myoclonus
More informationProfessor Tim Anderson
Professor Tim Anderson Neurologist University of Otago Christchurch 11:00-11:55 WS #91: Shakes Jerks and Spasms - Recognition and Differential Diagnosis 12:05-13:00 WS #102: Shakes Jerks and Spasms - Recognition
More information2. Has this plan authorized this medication in the past for this member (i.e., previous authorization is on file under this plan)?
Pharmacy Prior Authorization AETA BETTER HEALTH MICHIGA Botulinum Toxins (Medicaid) This fax machine is located in a secure location as required by HIPAA regulations. Complete/review information, sign
More informationMedication Prior Authorization Form
(OnabotulinumtoxinA) Dysport (abobotulinumtoxina) Myobloc (rimabotulinumtoxinb) Xeomin (incobotulinumtoxina) Policy Number: 1042 Policy History Approve Date: 12/11/2015 Revise Dates: 7/7/2016 Next Review:
More informationBOTULINUM TOXIN: RESEARCH ISSUES ARISING FROM PRACTICE
% of baseline CMAP Botulinum toxin: mechanism of action BOTULINUM TOXIN: RESEARCH ISSUES ARISING FROM PRACTICE Clinical benefits of botulinum toxin (BT) injections depend primarily on the toxin's peripheral
More informationJournal of Anesthesia & Pain Medicine
Case Report To spasm, or Not to Spasm, That is the Question Journal of Anesthesia & Pain Medicine John C McDonald BA 1 and Terence K Gray DO 1,2* 1 Mercy Pain Center, Mercy Hospital, Portland, Maine, USA
More informationIs OnabotulinumtoxinA Good for Other Head and Face Pain? Disclosures BoNT/A for non- CM Botulinum neurotoxin (BoNT) in clinical use for headache >20
1 2 3 4 5 6 Is OnabotulinumtoxinA Good for Other Head and Face Pain? Disclosures BoNT/A for non- CM Botulinum neurotoxin (BoNT) in clinical use for headache >20 years Efficacy of BoNT type A (onabotulinumtoxina,
More informationAssessment of health related quality of life in patients with hemifacial spasm
International Journal of Advances in Medicine Singh PK et al. Int J Adv Med. 2016 Nov;3(4):893-897 http://www.ijmedicine.com pissn 2349-3925 eissn 2349-3933 Original Research Article DOI: http://dx.doi.org/10.18203/2349-3933.ijam20163719
More informationDoes Prolonged Botulinum Toxin A Treatment Decrease its Duration of Action?
Original Article Does Prolonged Botulinum Toxin A Treatment Decrease its Duration of Action? Muhammad Moin, Asif Manzoor Pak J Ophthalmol 2017, Vol. 33, No. 2.....................................................................................................
More informationGUIDELINE FOR THE MANAGEMENT OF IDIOPATHIC FACIAL PALSY. All children under 16 presenting to UHW or CHfW with IFP. Dr P Jeffrey Morgan ST8
GUIDELINE FOR THE MANAGEMENT OF IDIOPATHIC FACIAL PALSY Reference: IFP Version No: 1 Applicable to All children under 16 presenting to UHW or CHfW with IFP Classification of document: Area for Circulation:
More informationControlling Migraine Pain
Migraine Stats Controlling Migraine Pain Alan Zacharias, M.D. Associated Neurologists, Boulder Community Health 303-622-3365 Women 15% Men 5% Usually starts in 2 nd and 3 rd Decade Major Impact on days
More informationclinical article J Neurosurg 126: , 2017
clinical article J Neurosurg 126:391 396, 2017 Prognostic ability of intraoperative electromyographic monitoring during microvascular decompression for hemifacial spasm to predict lateral spread response
More informationCircle Yes or No Y N. [If yes, no further questions.]
02/18/2016 Prior Authorization AETA BETTER HEALTH PE MEDICAID & AETA BETTER HEALTH KIDS Botulinum Toxins (PA88) This fax machine is located in a secure location as required by HIPAA regulations. Complete/review
More informationDEEP BRAIN STIMULATION
DEEP BRAIN STIMULATION Non-Discrimination Statement and Multi-Language Interpreter Services information are located at the end of this document. Coverage for services, procedures, medical devices and drugs
More information200 SW 8 th St, STE A, Ocala, FL PH: FAX: Dr. Omar Garcia, Medical Director
200 SW 8 th St, STE A, Ocala, FL 34471 PH: 352-369-0104 FAX: 352-369-0107 Dr. Omar Garcia, Medical Director BRIEF MEDICAL HISTORY Name Phone Age Height Weight Address City State Zip Current Physician's
More informationThere are several types of epilepsy. Each of them have different causes, symptoms and treatment.
1 EPILEPSY Epilepsy is a group of neurological diseases where the nerve cell activity in the brain is disrupted, causing seizures of unusual sensations, behavior and sometimes loss of consciousness. Epileptic
More information10/13/2017. Disclosures. Deep Brain Stimulation in the Treatment of Movement Disorders. Deep Brain Stimulation: Objectives.
Deep Brain Stimulation in the Treatment of Movement Disorders Disclosures None Eleanor K Orehek, M.D. Movement Disorders Specialist Noran Neurological Clinic 1 2 Objectives To provide an overview of deep
More informationApraxia of eyelid opening: Clinical features and therapy
E u ropean Journal of Ophthalmology / Vol. 16 no. 2, 2006 / pp. 2 0 4-2 0 8 Apraxia of eyelid opening: Clinical features and therapy E. KERT Y 1, K. EIDAL 2 1 Department of Neuro l o g y, Rikshospitalet,
More informationTreatment of facial palsy with Botulinum Toxin (Botox) Information for patients
Treatment of facial palsy with Botulinum Toxin (Botox) Information for patients page 2 of 8 You have been recommended treatment with Botulinum Toxin. This leaflet aims to explain the treatment, what to
More informationLocal Injection of Botulinum Toxin Type A for Hemifacial Spasm
Neurol Med Chir (Tokyo) 42, 245 249, 2002 Local Injection of Botulinum Toxin Type A for Hemifacial Spasm Hirofumi OYAMA, AkiraIKEDA, Shigeo INOUE, Yasuhiro NAKASHIMA, and Masato SHIBUYA Department of Neurosurgery,
More informationHubert H. Fernandez, MD
Hubert H. Fernandez, MD Associate Professor Co-Director, Movement Disorders Center Director, Clinical Trials for Movement Disorders Program Director, Neurology Residency and Movement Disorders Fellowship
More informationTrigeminal Neuralgia > 1
Trigeminal Neuralgia Overview Trigeminal neuralgia is an inflammation of the trigeminal nerve causing extreme pain and muscle spasms in the face. Attacks of intense, electric shock-like facial pain can
More informationM0BCore Safety Profile
M0BCore Safety Profile Active substance: Clostridium botulinum neurotoxin type A haemagglutinin complex Pharmaceutical form(s)/strength: powder for solution for injection, 300 unit and 500 unit P-RMS:
More informationLiterature Review: Neurosurgery
NANOS 2018 Kona, Hawaii Literature Review: Neurosurgery Neil R. Miller, MD FACS Frank B. Walsh Professor of Neuro-Ophthalmology Professor of Ophthalmology, Neurology & Neurosurgery Johns Hopkins University
More informationA HEMIFACIAL SPASM A MULTIDISCIPLINARY APPROACH
A HEMIFACIAL SPASM A PDF HEMIFACIAL SPASM - WIKIPEDIA HEMIFACIAL SPASM: TYPES, SYMPTOMS, AND CAUSES 1 / 7 2 / 7 3 / 7 a hemifacial spasm a pdf Hemifacial spasm (HFS) is a rare neuromuscular disease characterized
More informationCarotid Artery Dissection Causing an Isolated Hypoglossal. Nerve Palsy
Archives of Clinical and Medical Case Reports doi: 10.26502/acmcr.96550035 Volume 2, Issue 5 Case Report Carotid Artery Dissection Causing an Isolated Hypoglossal Muzzammil Ali*, Yatin Sardana Nerve Palsy
More informationSurgical Treatment for Movement Disorders
Surgical Treatment for Movement Disorders Seth F Oliveria, MD PhD The Oregon Clinic Neurosurgery Director of Functional Neurosurgery: Providence Brain and Spine Institute Portland, OR Providence St Vincent
More informationNANOS Patient Brochure
NANOS Patient Brochure Anisocoria Copyright 2016. North American Neuro-Ophthalmology Society. All rights reserved. These brochures are produced and made available as is without warranty and for informational
More informationClinical Policy: IncobotulinumtoxinA (Xeomin) Reference Number: CP.PHAR.231
Clinical Policy: (Xeomin) Reference Number: CP.PHAR.231 Effective Date: 07/16 Last Review Date: 07/17 Coding Implications Revision Log See Important Reminder at the end of this policy for important regulatory
More informationMigraine Headache Diagnosis - Treatment
Migraine Headache Diagnosis - Treatment The Migraine Mystery Medical researchers estimate that at least 20% of the population suffers from daily, or weekly, headache and common migraine. Migraines occur
More informationClassification of Facial Pain. Surgical Treatment of Facial Pain. Typical trigeminal neuralgia. Atypical trigeminal neuralgia
Surgical Treatment of Facial Pain Nicholas M. Barbaro, MD University of California at San Francisco Classification of Facial Pain Trigeminal neuralgia Atypical trigeminal neuralgia Neuropathic facial pain
More informationAdvanced Treatment of Spasticity 14 th Jan 2017
About the Society of Rehabilitation Medicine (Singapore) Advanced Treatment of Spasticity 14 th Jan 2017 Dr Geoffrey S Samuel Consultant Department of Rehabilitation Medicine Singapore General Hospital
More informationTrigeminal Neuralgia (facial pain)
Trigeminal Neuralgia (facial pain) Overview Trigeminal neuralgia is an inflammation of the trigeminal nerve, causing extreme pain and muscle spasms in the face. Attacks of intense, electric shock-like
More informationH emifacial spasm (HFS) is an infrequent disorder with
1574 PAPER Repeat microvascular decompression for hemifacial spasm J A Engh, M Horowitz, L Burkhart, Y-F Chang, A Kassam... J Neurol Neurosurg Psychiatry 2005;76:1574 1580. doi: 10.1136/jnnp.2004.056861
More informationHow to Think like a Neurologist Review of Exam Process and Assessment Findings
Lehigh Valley Health Network LVHN Scholarly Works Neurology Update for the Non-Neurologist 2013 Neurology Update for the Non-Neurologist Feb 20th, 5:10 PM - 5:40 PM How to Think like a Neurologist Review
More informationH emifacial spasm (HFS) is an infrequent disorder with
1574 PAPER Repeat microvascular decompression for hemifacial spasm J A Engh, M Horowitz, L Burkhart, Y-F Chang, A Kassam... See end of article for authors affiliations... Correspondence to: Dr Amin Kassam,
More informationPACKAGE LEAFLET: INFORMATION FOR THE USER
PACKAGE LEAFLET: INFORMATION FOR THE USER DYSPORT 500 units Powder for solution for injection Clostridium botulinum type A toxin-haemagglutinin complex Read all of this leaflet carefully, before you start
More informationParaparesis. Differential Diagnosis. Ran brauner, Tel Aviv university
Paraparesis Differential Diagnosis Ran brauner, Tel Aviv university Definition Loss of motor power to both legs Paraparesis (paraplegia) refers to partial (- paresis) or complete (-plegia) loss of voluntary
More informationNEUROLOGY CLERKSHIP CORE CURRICULUM GUIDELINES
NEUROLOGY CLERKSHIP CORE CURRICULUM GUIDELINES Endorsed by the following organizations - October 2000: American Academy of Neurology Association of University Professors of Neurology American Neurological
More informationNEURO PROTOCOLS MRI NEURO PROTOCOLS (SIEMENS SCANNERS)
Page 1 NEURO PROTOCOLS Brain Stroke Brain Brain with contrast Brain for seizures Brain for MS Brain for Pineal gland Sella FAST Scan for hydrocephalus MRA/MRV Brain MRA carotids 8 th nerve Cranial nerves
More informationMovement Disorders- Parkinson s Disease. Fahed Saada, MD March 8 th, th Family Medicine Refresher Course St.
Movement Disorders- Parkinson s Disease Fahed Saada, MD March 8 th, 2019 48 th Family Medicine Refresher Course St. Joseph s Health Disclosure ACADIA Pharmaceuticals Objectives Review the classification
More informationMYOBLOC and Cervical Dystonia A Patient s Guide
MYOBLOC and Cervical Dystonia A Patient s Guide MYOBLOC (rimabotulinumtoxinb) Injection is indicated for the treatment of adults with cervical dystonia to reduce the severity of abnormal head position
More informationIndex. Dent Clin N Am 51 (2007) Note: Page numbers of article titles are in boldface type.
Dent Clin N Am 51 (2007) 275 279 Index Note: Page numbers of article titles are in boldface type. A Acupuncture, in persistent facial pain, 269 270 Analgesic systems, sex differences in, 6 8 Anticholinergic
More informationPatient Name: Date of Birth: Patient Name: DOB: Patient Guardian/Representative: How old are you. Handed: Right Left Ambidextrous Male
Patient Name: Welcome to Cerebrum Health Centers. Carefully complete all of the following health history questionnaires. The accuracy of your answers will help us better diagnose and treat your condition.
More informationDystonia Clinic Patient Information Leaflet
Dystonia Clinic Patient Information Leaflet 2 Introduction This leaflet provides you with information about the Dystonia Clinic at Walkergate Park. We hope you will find it useful. Appointment Your appointment
More informationTemporal Bone Magnetic Resonance Imaging Study in Hemifacial Spasm
Temporal Bone Magnetic Resonance Imaging Study in Hemifacial Spasm Sun Kon Kim, M.D., Jin Ho Kim, M.D., Jin Woo Yang, M.D., Hyun Jeong Lee, M.D., Tae Sub Cheong, M.D.*, Young Ho Sohn, M.D., Jin-Soo Kim,
More informationASSESSMENT AND TREATMENT OF FACIAL PALSY. Michael J. LaRouere, M.D. Michigan Ear Institute Farmington Hills, Michigan
ASSESSMENT AND TREATMENT OF FACIAL PALSY Michael J. LaRouere, M.D. Michigan Ear Institute Farmington Hills, Michigan FACIAL PARALYSIS - ETIOLOGY Bells Palsy Ramsay Hunt Syndrome Infection (Acute/Chronic)
More information[If yes, no further questions.]
05/30/2014 Prior Authorization AETA BETTER HEALTH OF ILLIOIS MEDICAID Botox (IL88) This fax machine is located in a secure location as required by HIPAA regulations. Complete/review information, sign and
More informationDizziness: Neurological Aspect
Dizziness: Neurological Aspect..! E-mail: somtia@kku.ac.th http://epilepsy.kku.ac.th Features between peripheral and central vertigo 1. Peripheral Central 2.! " # $ " Imbalance Mild-moderate Severe 3.!
More informationClinical Outcomes of Individualized Botulinum Neurotoxin Type A Injection Techniques in Patients with Essential Blepharospasm
pissn: 1011-8942 eissn: 2092-9382 Korean J Ophthalmol 2015;29(2):115-120 http://dx.doi.org/10.3341/kjo.2015.29.2.115 Original Article Clinical Outcomes of Individualized Botulinum Neurotoxin Type A Injection
More informationUPPER EYELID DROOPING
UPPER EYELID DROOPING (PTOSIS) UNDERSTAND MORE ABOUT UPPER EYELID DROOPING (PTOSIS) Upper Eyelid Drooping (Ptosis) What is ptosis? Ptosis is the medical term for drooping of the upper eyelid. It is most
More informationDisorders of Movement M A R T I N H A R L E Y N E U R O L O G Y
Disorders of Movement M A R T I N H A R L E Y N E U R O L O G Y Educational Objectives Improved history taking in patients with movement disorders. Develop a systematic approach to observing and describing
More informationCONSUMER MEDICINE INFORMATION
CONSUMER MEDICINE INFORMATION BOTOX (botulinum toxin, type A) purified neurotoxin complex The information in this leaflet is ONLY a summary and is not a complete statement about BOTOX injection. Your doctor
More informationALTERNATIVE TREATMENTS
Botox Consent INSTRUCTIONS This is an informed- consent document which has been prepared to help your plastic surgeon inform you concerning BOTOX (Botulina Toxin Type A, Allergan) injection, its risks,
More informationFacial Paralysis: Objectives: Discuss the anatomy of the facial nerve. Look at common patterns of facial nerve palsy
Facial Paralysis: Objectives: Discuss the anatomy of the facial nerve Look at common patterns of facial nerve palsy Discuss imaging appearance of lesions that lead to facial paralysis. Lindell R. Gentry,
More informationdiagnosis Temporal bone fractures: a clinical
Archives of Emergency Medicine, 1988, 5, 146-150 Temporal bone fractures: a clinical diagnosis J. WALDRON & S. E. J. HURLEY Department of Ear Nose and Throat Surgery, St Mary's Hospital, London, England
More informationClinical Policy: IncobotulinumtoxinA (Xeomin) Reference Number: ERX.SPA.194 Effective Date:
Clinical Policy: (Xeomin) Reference Number: ERX.SPA.194 Effective Date: 01.11.17 Last Review Date: 11.18 Revision Log See Important Reminder at the end of this policy for important regulatory and legal
More informationIsolated Unilateral Hypoglossal Nerve Palsy Due to Vertebral Artery Dissection
CM&R Rapid Release. Published online ahead of print October 26, 2011 as Case Report Isolated Unilateral Hypoglossal Nerve Palsy Due to Vertebral Artery Dissection Karthik Mahadevappa, MBBS 1 ; Thomas Chacko,
More informationDr. Dafalla Ahmed Babiker Jazan University
Dr. Dafalla Ahmed Babiker Jazan University change in motor activity and/or behaviour due to abnormal electrical activity in the brain. seizures in children either - provoked by somatic disorders originating
More informationAAEM CASE REPORT #21: HEMIFACIAL SPASM: PREOPERATIVE DIAGNOSIS AND INTRAOPERATIVE MANAGEMENT
~~ AAEM CASE REPORT #21 A 75-year-old man developed progressive involuntary hemifacial spasm. Electrophysiologic evidence of abnormal cross-transmission between neurons of the facial nerve was demonstrated.
More information2. Has this plan authorized this medication in the past for this member (i.e., previous authorization is on file under this plan)?
Pharmacy Prior Authorization MERC CARE PLA (MEDICAID) Botulinum Toxins (Medicaid) This fax machine is located in a secure location as required by HIPAA regulations. Complete/review information, sign and
More informationNIH Public Access Author Manuscript Mov Disord. Author manuscript; available in PMC 2009 May 18.
NIH Public Access Author Manuscript Published in final edited form as: Mov Disord. 2008 August 15; 23(11): 1602 1605. doi:10.1002/mds.22161. Emergence of Parkinsons Disease in Essential Tremor: A Study
More informationTremor 101. Objectives 9/30/2015. Importance of tremors
Tremor 101 Umer Akbar, MD Assistant Professor, Brown University Movement Disorders Program, Rhode Island Hospital & Butler Hospital Objectives Recognize and describe the qualities of common types of tremor
More informationSYLLABUS NSC NEURAL PLASTICITY AND DISORDERS OF THE NERVOUS SYSTEM SPRING 2010
Syllabus NSC 4374 SPRING 2010 1 SYLLABUS NSC 4374-001 NEURAL PLASTICITY AND DISORDERS OF THE NERVOUS SYSTEM SPRING 2010 Instructor: Aage R. Møller PhD E-mail: AMOLLER@UTDALLAS.EDU Class schedule: Main
More informationSee Important Reminder at the end of this policy for important regulatory and legal information.
Clinical Policy: (Xeomin) Reference Number: CP.PHAR.231 Effective Date: 07.01.16 Last Review Date 05.18 Line of Business: Commercial, HIM, Medicaid Coding Implications Revision Log See Important Reminder
More informationIs Botulinum Toxin a Safe and Effective for the Treatment of Trigeminal Neuralgia in Adults?
Philadelphia College of Osteopathic Medicine DigitalCommons@PCOM PCOM Physician Assistant Studies Student Scholarship Student Dissertations, Theses and Papers 2016 Is Botulinum Toxin a Safe and Effective
More informationHeadache and Migraine Treatment
Many of us think of Botox primarily as a cosmetic treatment for lines and wrinkles on the face, but the botulinum toxin that Botox is derived from has a long history of medically therapeutic uses. In fact,
More informationSYNCOPE. Sanjay P. Singh, MD Chairman & Professor, Department of Neurology. Syncope
SYNCOPE Sanjay P. Singh, MD Chairman & Professor, Department of Neurology. Syncope Syncope is a clinical syndrome characterized by transient loss of consciousness (TLOC) and postural tone that is most
More informationP1: OTA/XYZ P2: ABC c01 BLBK231-Ginsberg December 23, :43 Printer Name: Yet to Come. Part 1. The Neurological Approach COPYRIGHTED MATERIAL
Part 1 The Neurological Approach COPYRIGHTED MATERIAL 1 2 Chapter 1 Neurological history-taking The diagnosis and management of diseases of the nervous system have been revolutionized in recent years by
More informationObjectives. Stroke Facts 2/27/2015. EMS in Stroke Care: A Critical Partnership
EMS in Stroke Care: A Critical Partnership Spokane County EMS Objectives Identify the types and time limitations for acute ischemic stroke treatment options Identify the importance of early identification
More information