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Idiopathic Intracranial Hypertension Triggering Hemifacial Spasm
Maria D Garcia1, Sasha A Mansukhani, John J Chen
1Departments of Ophthalmology (MDG, SAM, JJC, MTB) and Neurology (JJC, MTB), Mayo Clinic College of Medicine, Rochester, Minnesota.
Summary
Idiopathic intracranial hypertension (IIH) can cause hemifacial spasm in young women. Treating IIH with acetazolamide resolved these specific symptoms, highlighting a potential link.
Area of Science:
- Neurology
- Ophthalmology
Background:
- Idiopathic intracranial hypertension (IIH) is a neurological disorder characterized by elevated intracranial pressure without a clear cause.
- IIH classically affects young women and presents with headaches and visual disturbances, such as papilledema and cranial nerve palsies.
Observation:
- A case study involving a young woman diagnosed with IIH.
- The patient presented with hemifacial spasm, a symptom not commonly associated with IIH.
Findings:
- The hemifacial spasm in this IIH patient resolved after treatment with acetazolamide.
- This suggests a potential link between cranial nerve 7 dysfunction in IIH and hemifacial spasm.
Implications:
- This case broadens the spectrum of neurological manifestations of IIH.
- It highlights the importance of considering IIH in patients presenting with hemifacial spasm, even without typical IIH symptoms.
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