Cargando…
A pacemaker-assisted microvascular decompression for a patient with left primary facial spasm and arrhythmia: a case report
BACKGROUND: Primary facial spasm accompanied by arrhythmia is a rare clinical phenomenon and has not been reported before. We describe this phenomenon and discuss its mechanism and treatment. CASE PRESENTATION: We herein present a rare case of a patient with left primary facial spasm and a third-deg...
Autores principales: | , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7789012/ https://www.ncbi.nlm.nih.gov/pubmed/33407329 http://dx.doi.org/10.1186/s12893-020-01025-x |
_version_ | 1783633149001990144 |
---|---|
author | Liu, Yufei Yang, Jihu Zhang, Xiejun Chen, Fanfan Zhang, Liwei Huang, Guodong |
author_facet | Liu, Yufei Yang, Jihu Zhang, Xiejun Chen, Fanfan Zhang, Liwei Huang, Guodong |
author_sort | Liu, Yufei |
collection | PubMed |
description | BACKGROUND: Primary facial spasm accompanied by arrhythmia is a rare clinical phenomenon and has not been reported before. We describe this phenomenon and discuss its mechanism and treatment. CASE PRESENTATION: We herein present a rare case of a patient with left primary facial spasm and a third-degree atrioventricular block (III degree AVB), who was implanted with a temporary cardiac pacemaker to receive microvascular decompression (MVD) because of refusal of a permanent cardiac pacemaker. The symptoms of facial spasm disappeared after MVD. The temporary cardiac pacemaker was removed on the second day after surgery. Her ECG still showed the third-degree atrioventricular block after a follow-up period of 5 months. CONCLUSIONS: We are the first to report a patient with facial spasm and arrhythmia who was implanted with a temporary cardiac pacemaker to receive MVD. This case report demonstrated that the concomitant presence of a III degree AVB maybe not a contraindication for MVD, and the etiology of this facial spasm was the actual vascular compression of the facial nerve entry zone that was not related to the atrioventricular block. |
format | Online Article Text |
id | pubmed-7789012 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-77890122021-01-07 A pacemaker-assisted microvascular decompression for a patient with left primary facial spasm and arrhythmia: a case report Liu, Yufei Yang, Jihu Zhang, Xiejun Chen, Fanfan Zhang, Liwei Huang, Guodong BMC Surg Case Report BACKGROUND: Primary facial spasm accompanied by arrhythmia is a rare clinical phenomenon and has not been reported before. We describe this phenomenon and discuss its mechanism and treatment. CASE PRESENTATION: We herein present a rare case of a patient with left primary facial spasm and a third-degree atrioventricular block (III degree AVB), who was implanted with a temporary cardiac pacemaker to receive microvascular decompression (MVD) because of refusal of a permanent cardiac pacemaker. The symptoms of facial spasm disappeared after MVD. The temporary cardiac pacemaker was removed on the second day after surgery. Her ECG still showed the third-degree atrioventricular block after a follow-up period of 5 months. CONCLUSIONS: We are the first to report a patient with facial spasm and arrhythmia who was implanted with a temporary cardiac pacemaker to receive MVD. This case report demonstrated that the concomitant presence of a III degree AVB maybe not a contraindication for MVD, and the etiology of this facial spasm was the actual vascular compression of the facial nerve entry zone that was not related to the atrioventricular block. BioMed Central 2021-01-06 /pmc/articles/PMC7789012/ /pubmed/33407329 http://dx.doi.org/10.1186/s12893-020-01025-x Text en © The Author(s) 2021 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Case Report Liu, Yufei Yang, Jihu Zhang, Xiejun Chen, Fanfan Zhang, Liwei Huang, Guodong A pacemaker-assisted microvascular decompression for a patient with left primary facial spasm and arrhythmia: a case report |
title | A pacemaker-assisted microvascular decompression for a patient with left primary facial spasm and arrhythmia: a case report |
title_full | A pacemaker-assisted microvascular decompression for a patient with left primary facial spasm and arrhythmia: a case report |
title_fullStr | A pacemaker-assisted microvascular decompression for a patient with left primary facial spasm and arrhythmia: a case report |
title_full_unstemmed | A pacemaker-assisted microvascular decompression for a patient with left primary facial spasm and arrhythmia: a case report |
title_short | A pacemaker-assisted microvascular decompression for a patient with left primary facial spasm and arrhythmia: a case report |
title_sort | pacemaker-assisted microvascular decompression for a patient with left primary facial spasm and arrhythmia: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7789012/ https://www.ncbi.nlm.nih.gov/pubmed/33407329 http://dx.doi.org/10.1186/s12893-020-01025-x |
work_keys_str_mv | AT liuyufei apacemakerassistedmicrovasculardecompressionforapatientwithleftprimaryfacialspasmandarrhythmiaacasereport AT yangjihu apacemakerassistedmicrovasculardecompressionforapatientwithleftprimaryfacialspasmandarrhythmiaacasereport AT zhangxiejun apacemakerassistedmicrovasculardecompressionforapatientwithleftprimaryfacialspasmandarrhythmiaacasereport AT chenfanfan apacemakerassistedmicrovasculardecompressionforapatientwithleftprimaryfacialspasmandarrhythmiaacasereport AT zhangliwei apacemakerassistedmicrovasculardecompressionforapatientwithleftprimaryfacialspasmandarrhythmiaacasereport AT huangguodong apacemakerassistedmicrovasculardecompressionforapatientwithleftprimaryfacialspasmandarrhythmiaacasereport AT liuyufei pacemakerassistedmicrovasculardecompressionforapatientwithleftprimaryfacialspasmandarrhythmiaacasereport AT yangjihu pacemakerassistedmicrovasculardecompressionforapatientwithleftprimaryfacialspasmandarrhythmiaacasereport AT zhangxiejun pacemakerassistedmicrovasculardecompressionforapatientwithleftprimaryfacialspasmandarrhythmiaacasereport AT chenfanfan pacemakerassistedmicrovasculardecompressionforapatientwithleftprimaryfacialspasmandarrhythmiaacasereport AT zhangliwei pacemakerassistedmicrovasculardecompressionforapatientwithleftprimaryfacialspasmandarrhythmiaacasereport AT huangguodong pacemakerassistedmicrovasculardecompressionforapatientwithleftprimaryfacialspasmandarrhythmiaacasereport |