Yuki Aonuma, Hideyuki Yoshioka, Kazuya Kanemaru, Koji Hashimoto, So Saito, Takuma Wakai, Norito Fukuda, Hiroyuki Kinouchi
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Endovascular Flow Diversion for Hemifacial Spasm Due to an Unruptured Fusiform Vertebral Artery Aneurysm: A Case Report.
Background and importance: Hemifacial spasm (HFS) caused by a fusiform aneurysm is rare and difficult to treat. We present the first case of successful endovascular flow diversion treatment for HFS due to a fusiform aneurysm.
Clinical presentation: A 46-year-old man suffered from right HFS for 6 months because of a fusiform right vertebral artery aneurysm compressing the root exit zone of cranial nerve VII. He successfully underwent flow diversion, with immediate disappearance of his HFS. Follow-up digital subtraction angiography 3 months after treatment showed complete resolution of the aneurysm.
Conclusion: Flow diversion might be a promising treatment option for HFS due to a fusiform vertebral artery aneurysm.
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