dc.contributor.author | JO Jowi, J Matende, MI Macharia | |
dc.date.accessioned | 2020-08-31T08:16:59Z | |
dc.date.available | 2020-08-31T08:16:59Z | |
dc.date.issued | 2006-07 | |
dc.identifier.uri | https://repository.maseno.ac.ke/handle/123456789/2597 | |
dc.description.abstract | A 53 year old lady with diabetes mellitus presented with right hemi-facial spasm (HFS). Brain MRI Scan revealed extensive pan-sinusitis and mild bilateral mastoiditis. She responded well to intravenous ceftriaxone therapy and the hemifacial spasm resolved. The symptoms of hemifacial spasm and pain over the right cheek and peri-orbital area recurred after three weeks. She was admitted to hospital for Functional Endoscopic Sinus Surgery (FESS); following findings on repeat para-nasal sinus CT-Scan. Several reviews over six month’s period revealed complete resolution of hemi facial spasm symptoms save for mild intermittent right blepharospasm; particularly on exposure to wind. This is a very rare cause of hemifacial spasm and clinicians should be on the look out for infective/inflammatory aetiology of hemifacial spasm; particularly in patients who present with recent onset HFS and have features of infection and or inflammation in the cranium. | en_US |
dc.publisher | Kenya Medical Association | en_US |
dc.title | Hemifacial spasm: case report | en_US |
dc.type | Article | en_US |