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Journal of Korean Neurosurgical Society 2009;46(3): 269-272.
doi: https://doi.org/10.3340/jkns.2009.46.3.269
Hemifacial Spasm Caused by a Huge Tentorial Meningioma.
Hun Park, Sun Chul Hwang, Bum Tae Kim, Won Han Shin
Department of Neurosurgery, Soonchunhyang University College of Medicine, Bucheon Hospital, Bucheon, Korea. sunchulh@sch.ac.kr
ABSTRACT
A rare case of hemifacial spasm caused by an ipsilateral tentorial meningioma is described. Magnetic resonance imaging showed a huge tumor in the right cerebellar hemisphere, distant to the cerebello-pontine cistern. The facial-vestibulocochlear nerve complex was stretched by the shift of the brainstem and the right cerebello-pontine cistern was effaced. After removing the tumor, the hemifacial spasm resolved completely. We review our case with the pertinent literature regarding the etiological mechanism.
Key Words: Hemifacial spasm; Posterior fossa tumor; Meningioma
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