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Occurrence in Multiple Sclerosis

Fred F. Telischi, MD; Lawrence R. Grobman, MD; William A. Sheremata, MD; Marc Apple, MD; Ram Ayyar, MD

Arch Otolaryngol Head Neck Surg. 1991;117(5):554-556.

Abstract
• We present six patients with hemifacial spasm and multiple sclerosis. To our knowledge, this association has not been described previously in the North American literature. Magnetic resonance imaging was obtained in all the patients and plaques consistent with multiple sclerosis were identified. In two patients the plaques were seen in the area of the facial nucleus on the involved side. We suggest that hemifacial spasm can be a manifestation of multiple sclerosis. These cases illustrate the utility of magnetic resonance imaging in the investigation of hemifacial spasm. Our findings also support a central (nuclear) origin in multiple sclerosis associated with hemifacial spasm.

(Arch Otolaryngol Head Neck Surg. 1991;117:554-556)

Author Affiliations
From the Departments of Otolaryngology (Drs Telischi, Grobman, and Apple) and Neurology (Drs Sheremata and Ayyar), University of Miami (Fla) School of Medicine.

Footnotes
Accepted for publication January 2, 1991.

Reprint requests to the Department of Otolaryngology (D-48), University of Miami School of Medicine, 1666 NW 10th Ave, ACC-East, Suite 306, Miami, FL 33136 (Dr Telischi).

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