Hemimasticatory spasm (HMS)

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Hemimasticatory spasm (HMS). This results from microvascular compression of the trigeminal motor nerve. Fully referenced neurology checklist.

Pathology

  • This results from microvascular compression of the trigeminal motor nerve
  • This is usually by the superior cerebellar artery

Secondary causes

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Clinical features

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Triggers

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Complications

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Electromyography (EMG)

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Treatment

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References

  1. Radhakrishnan DM, Goyal V, Shukla G, Singh MB, Ramam M. Hemi masticatory spasm: series of 7 cases and review of literature. Mov Disord Clin Pract 2019; 6:316-319.
  2. Kim JH, Han SW, Kim YJ, Kim J, Oh MS, Ma HI, Lee BC. A case of painful hemimasticatory spasm with masseter muscle hypertrophy responsive to botulinum toxin. J Mov Disord 2009; 2:95-97.
  3. Tavadyan ZD, Yeghiazaryan NS, Khachatryan SG. Hemimasticatory spasm: the first case report of bilateral presentation. Mov Disord Clin Pract 2021; 8:775-777. 
  4. Chen GC, Chen MJ, Wei WB, Hao YB. Parry-Romberg syndrome with hemimasticatory spasm: a rare combination. J Craniofac Surg 2020; 31:e205-e208.
  5. Woo KA, Kim HJ, Park H, Jeon B. Bilateral Hemimasticatory spasm in a patient with hypereosinophilic syndrome. Parkinsonism Relat Disord 2021; 93:55-57. 
  6. And 3 more. Subscribe to see the full list

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