Hemifacial spasm or subcortical epilepsy?

  title={Hemifacial spasm or subcortical epilepsy?},
  author={Alexis A. Arzimanoglou and F Salefranque and Françoise Gouti{\`e}res and J. P. Aicardi},
  journal={Epileptic disorders : international epilepsy journal with videotape},
  volume={1 2},
A child with Goldenhar's syndrome presented at about one week of age with stereotyped, repetitive paroxysmal episodes of hemifacial contraction, suggestive of partial seizures or hemifacial spasm. Later in life he also developed independent, permanent abnormal eye and chin movements identical in rhythm to those seen in myorhythmias, suggesting involvement of the dentato-olivary pathway. MRI demonstrated a hamartomatous lesion at the level of the pontomedullary junction. We speculate that the… CONTINUE READING