Hemifacial Spasm Secondary to Arachnoiditis Due to Neurocysticercosis: Clinical Image

Yang S.Y.; Vásquez C.M. · World Neurosurgery (2020) · DOI: 10.1016/j.wneu.2020.06.217

Resumen

Subarachnoid neurocysticercosis (NCC) is a form of NCC with cysticerci located in the subarachnoid space. This form of NCC can cause general and focal neurologic symptoms, and sometimes requires surgical intervention as a treatment. In this report, we present a rare case of hemifacial spasm secondary to arachnoiditis because of an NCC cyst in the cerebellopontine angle. The cysticercus was removed and the facial nerve was liberated via a retrosigmoidal approach. At 8-month follow-up, the patient reported no recurrence of symptoms. To our knowledge, this is the first case reported to surgically manage hemifacial spasm secondary to NCC arachnoiditis.

Instituciones: Universidad Peruana Cayetano Heredia