Hemifacial spasm and osteitis deformans

E. B. Ing, P. J. Savino, T. M. Bosley, R. C. Sergott, N. Kelepouris

Research output: Contribution to journalArticle


PURPOSE/METHODS: A patient with osteitis deformans (Paget's disease) and hemifacial spasm underwent magnetic resonance tomographic angiography. Bone- modulating bisphosphonates and botulinum injection were administered to treat the hemifacial spasm. RESULTS/CONCLUSIONS: Computed tomography showed marked temporal bone overgrowth. Magnetic resonance tomographic angiography showed no vascular compression of the facial nerve root. The hemifacial spasm failed to resolve with intravenous pamidronate. Subsequent botulinum injection rendered the patient spasm free for 22 weeks. Further research on the use of bisphosphonates in the treatment of pagetoid hemifacial spasm is required.

Original languageEnglish (US)
Pages (from-to)376-377
Number of pages2
JournalAmerican journal of ophthalmology
Issue number3
StatePublished - Jan 1 1995
Externally publishedYes


ASJC Scopus subject areas

  • Ophthalmology

Cite this

Ing, E. B., Savino, P. J., Bosley, T. M., Sergott, R. C., & Kelepouris, N. (1995). Hemifacial spasm and osteitis deformans. American journal of ophthalmology, 119(3), 376-377. https://doi.org/10.1016/S0002-9394(14)71189-4