Twists of trouble: AICA loops as the culprit in hemifacial spasm

The highly variable anatomy of the anterior inferior cerebellar artery is one of the causative factors of neurovascular compression of the facial and vestibulocochlear nerve resulting in hemifacial spasms associated with hearing loss, vertigo, and tinnitus. Our patient a 64-year-old male presented w...

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Main Authors: Utkarsh Pradeep, Shilpa Bawankule, Sourya Acharya, Paschyanti Kasat, Akshay Padwal
Format: Article
Language:English
Published: Elsevier 2025-08-01
Series:Radiology Case Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S1930043325003462
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author Utkarsh Pradeep
Shilpa Bawankule
Sourya Acharya
Paschyanti Kasat
Akshay Padwal
author_facet Utkarsh Pradeep
Shilpa Bawankule
Sourya Acharya
Paschyanti Kasat
Akshay Padwal
author_sort Utkarsh Pradeep
collection DOAJ
description The highly variable anatomy of the anterior inferior cerebellar artery is one of the causative factors of neurovascular compression of the facial and vestibulocochlear nerve resulting in hemifacial spasms associated with hearing loss, vertigo, and tinnitus. Our patient a 64-year-old male presented with such complaints for the past few months. He was investigated thoroughly for the cause and on Magnetic resonance imaging of the brain with Fast imaging employing steady-state acquisition sequence it was evident that the anterior inferior cerebellar artery loop was compressing the seventh and eighth cranial nerves on the right side. This was responsible for the patient’s symptoms. He also had sensorineural hearing loss in the right ear. He was started on symptomatic treatment as he denied any surgical intervention.
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series Radiology Case Reports
spelling doaj-art-70d779faa44247048bbf8fabafd98b592025-08-20T02:30:55ZengElsevierRadiology Case Reports1930-04332025-08-012083645364910.1016/j.radcr.2025.04.045Twists of trouble: AICA loops as the culprit in hemifacial spasmUtkarsh Pradeep0Shilpa Bawankule1Sourya Acharya2Paschyanti Kasat3Akshay Padwal4Department of Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education & Research, Wardha, India; Corresponding author.Department of Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education & Research, Wardha, IndiaDepartment of Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education & Research, Wardha, IndiaDepartment of Radiology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education & Research, Wardha, IndiaDepartment of Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education & Research, Wardha, IndiaThe highly variable anatomy of the anterior inferior cerebellar artery is one of the causative factors of neurovascular compression of the facial and vestibulocochlear nerve resulting in hemifacial spasms associated with hearing loss, vertigo, and tinnitus. Our patient a 64-year-old male presented with such complaints for the past few months. He was investigated thoroughly for the cause and on Magnetic resonance imaging of the brain with Fast imaging employing steady-state acquisition sequence it was evident that the anterior inferior cerebellar artery loop was compressing the seventh and eighth cranial nerves on the right side. This was responsible for the patient’s symptoms. He also had sensorineural hearing loss in the right ear. He was started on symptomatic treatment as he denied any surgical intervention.http://www.sciencedirect.com/science/article/pii/S1930043325003462Hemifacial spasmNeurovascularVestibulocochlearSensorineuralVertigo
spellingShingle Utkarsh Pradeep
Shilpa Bawankule
Sourya Acharya
Paschyanti Kasat
Akshay Padwal
Twists of trouble: AICA loops as the culprit in hemifacial spasm
Radiology Case Reports
Hemifacial spasm
Neurovascular
Vestibulocochlear
Sensorineural
Vertigo
title Twists of trouble: AICA loops as the culprit in hemifacial spasm
title_full Twists of trouble: AICA loops as the culprit in hemifacial spasm
title_fullStr Twists of trouble: AICA loops as the culprit in hemifacial spasm
title_full_unstemmed Twists of trouble: AICA loops as the culprit in hemifacial spasm
title_short Twists of trouble: AICA loops as the culprit in hemifacial spasm
title_sort twists of trouble aica loops as the culprit in hemifacial spasm
topic Hemifacial spasm
Neurovascular
Vestibulocochlear
Sensorineural
Vertigo
url http://www.sciencedirect.com/science/article/pii/S1930043325003462
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