Retrospective Study of Facial Nerve Block for Facial Spasm

안면경련 환자에서 안면신경 차단의 추적조사

  • 김찬 (세란병원 신경통증클리닉) ;
  • 양승곤 (세란병원 신경통증클리닉) ;
  • 이효근 (세란병원 신경통증클리닉) ;
  • 이희전 (세란병원 신경통증클리닉) ;
  • 오지현 (세란병원 신경통증클리닉) ;
  • 노원환 (세란병원 신경통증클리닉) ;
  • 김승희 (세란병원 신경통증클리닉)
  • Published : 1996.06.01

Abstract

Hemifacial spasm commonly occurs in muscles about the eye, but may also involve or spread to the entire side of the face. One hundred and seventy eight patients with hemifacial spasm visited our Neuro-Pain clinic from January 1992 to April 1996. There were 121 female and 57 male patients, a 2.1:1 ratio respectively. Largest percentages of patients were in the 50 year old range. Among them, 96 patients were treated by facial nerve block or O'Brien block. In most cases, induced facial palsy disappeared within one or two months. Among the 96 patients who received nerve block, 46 patients received a second block within 5 to 24 months. The average interval from first and second nerve block was 11.5 months. After nerve block, all patients were free from spasm for 1 to 21 months. We conclude that facial nerve block is a satisfactory and reliable method for the treatment of facial spasm.

Keywords