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Migraine-triggered hemifacial spasm: three new cases.

R Barahona-Hernando¹, M L Cuadrado, S García-Ptacek

¹Department of Neurology, Hospital Clínico San Carlos, Universidad Complutense, Madrid, Spain. r.barahona.hernando@gmail.com

Cephalalgia : an International Journal of Headache

|March 17, 2012

Summary

Migraine attacks can trigger hemifacial spasm (HFS), a rare occurrence. This study presents three cases where HFS developed during migraine episodes, suggesting a potential complication of migraine.

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Area of Science:

Neurology
Neuroscience

Background:

Hemifacial spasm (HFS) co-occurring with migraine is rarely documented.
This study details three new cases of HFS associated with migraine attacks.

Observation:

Three patients (31-36 years old) experienced HFS temporally linked to migraine onset.
Muscle spasms began after headache pain started.
Two patients showed electromyographic signs of facial nerve damage and persistent HFS post-migraine.

Findings:

Migraine episodes can be associated with the development of hemifacial spasm.
The onset of HFS appears linked to migraine activity.

Implications:

HFS in migraine may stem from central hyperexcitability or vascular compression of the facial nerve.
Migraine-triggered hemifacial spasm might be considered a migraine complication in susceptible individuals.