Facial myokymia with hemifacial contracture as the sole manifestation of a pontine glioma: A clinical video
Facial myokymia is a rare clinical condition that manifests as subtle, involuntary and undulating “bag of worm-” like facial movements that is pathognomonic for brainstem pathology. Although most commonly the result of demyelinating disorders such as multiple sclerosis, it rarely portends a space-oc...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2025-01-01
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| Series: | Annals of Movement Disorders |
| Subjects: | |
| Online Access: | https://doi.org/10.4103/aomd.aomd_70_24 |
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| author | Kautilya R. Patel Abhijit Goyal-Honavar Dhaval Shukla Ravi Yadav |
| author_facet | Kautilya R. Patel Abhijit Goyal-Honavar Dhaval Shukla Ravi Yadav |
| author_sort | Kautilya R. Patel |
| collection | DOAJ |
| description | Facial myokymia is a rare clinical condition that manifests as subtle, involuntary and undulating “bag of worm-” like facial movements that is pathognomonic for brainstem pathology. Although most commonly the result of demyelinating disorders such as multiple sclerosis, it rarely portends a space-occupying lesion in the brainstem, with isolated case reports of brainstem gliomas, metastatic tumors, cysticercal cysts, or tuberculomas. Here, we present the case of a 22-year-old patient with left facial myokymia and left hemifacial contracture, which were the sole presenting signs of a brainstem glioma. This report demonstrates the characteristics of these innocuous clinical signs on a clinical video and emphasizes the need to suspect an infiltrative brainstem lesion in a patient with facial myokymia, indicating prompt evaluation with brain magnetic resonance imaging. |
| format | Article |
| id | doaj-art-bcfb34db6fd74a808f83d5e22be7ca61 |
| institution | DOAJ |
| issn | 2590-3446 2590-3454 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Annals of Movement Disorders |
| spelling | doaj-art-bcfb34db6fd74a808f83d5e22be7ca612025-08-20T03:09:46ZengWolters Kluwer Medknow PublicationsAnnals of Movement Disorders2590-34462590-34542025-01-0181656710.4103/aomd.aomd_70_24Facial myokymia with hemifacial contracture as the sole manifestation of a pontine glioma: A clinical videoKautilya R. PatelAbhijit Goyal-HonavarDhaval ShuklaRavi YadavFacial myokymia is a rare clinical condition that manifests as subtle, involuntary and undulating “bag of worm-” like facial movements that is pathognomonic for brainstem pathology. Although most commonly the result of demyelinating disorders such as multiple sclerosis, it rarely portends a space-occupying lesion in the brainstem, with isolated case reports of brainstem gliomas, metastatic tumors, cysticercal cysts, or tuberculomas. Here, we present the case of a 22-year-old patient with left facial myokymia and left hemifacial contracture, which were the sole presenting signs of a brainstem glioma. This report demonstrates the characteristics of these innocuous clinical signs on a clinical video and emphasizes the need to suspect an infiltrative brainstem lesion in a patient with facial myokymia, indicating prompt evaluation with brain magnetic resonance imaging.https://doi.org/10.4103/aomd.aomd_70_24brainstem gliomafacial myokymiahemifacial contracturepontine glioma |
| spellingShingle | Kautilya R. Patel Abhijit Goyal-Honavar Dhaval Shukla Ravi Yadav Facial myokymia with hemifacial contracture as the sole manifestation of a pontine glioma: A clinical video Annals of Movement Disorders brainstem glioma facial myokymia hemifacial contracture pontine glioma |
| title | Facial myokymia with hemifacial contracture as the sole manifestation of a pontine glioma: A clinical video |
| title_full | Facial myokymia with hemifacial contracture as the sole manifestation of a pontine glioma: A clinical video |
| title_fullStr | Facial myokymia with hemifacial contracture as the sole manifestation of a pontine glioma: A clinical video |
| title_full_unstemmed | Facial myokymia with hemifacial contracture as the sole manifestation of a pontine glioma: A clinical video |
| title_short | Facial myokymia with hemifacial contracture as the sole manifestation of a pontine glioma: A clinical video |
| title_sort | facial myokymia with hemifacial contracture as the sole manifestation of a pontine glioma a clinical video |
| topic | brainstem glioma facial myokymia hemifacial contracture pontine glioma |
| url | https://doi.org/10.4103/aomd.aomd_70_24 |
| work_keys_str_mv | AT kautilyarpatel facialmyokymiawithhemifacialcontractureasthesolemanifestationofapontinegliomaaclinicalvideo AT abhijitgoyalhonavar facialmyokymiawithhemifacialcontractureasthesolemanifestationofapontinegliomaaclinicalvideo AT dhavalshukla facialmyokymiawithhemifacialcontractureasthesolemanifestationofapontinegliomaaclinicalvideo AT raviyadav facialmyokymiawithhemifacialcontractureasthesolemanifestationofapontinegliomaaclinicalvideo |