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Hemifacial Spasm Secondary to Arachnoiditis Due to Neurocysticercosis: Clinical Image
Susan Y Yang1, Carlos M Vásquez2,
1School of Medicine, Trinity College Dublin, Dublin, Ireland; Unidad de Investigación de Enfermedades Parasitarias del Sistema Nervioso, Universidad Peruana Cayetano Heredia, Lima, Perú; Centro Básico de Investigación en Exámenes Auxiliares en Parasitosis del Sistema Nervioso, Instituto Nacional de Ciencias Neurológicas, Lima, Perú.
Abstract:
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.
