HEMIFACIAL SPASM AND OSTEITIS DEFORMANS

PURPOSE/METHODS: A patient with osteitis deformans (Paget's disease) a nd hemifacial spasm underwent magnetic resonance tomographic angiograp hy. Bone-modulating bisphosphonates and botulinum injection were admin istered to treat the hemifacial spasm. RESULTS/CONCLUSIONS: Computed t omography showed marked temporal bone overgrowth. Magnetic resonance t omographic angiography showed no vascular compression of the facial ne rve root. The hemifacial spasm failed to resolve with intravenous pami dronate. Subsequent botulinum injection rendered the patient spasm fre e for 22 weeks. Further research on the use of bisphosphonates in the treatment of pagetoid hemifacial spasm is required.