Misdiagnosis of hemifacial spasm is a frequent event in the primary care setting
Autor(a) principal: | |
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Data de Publicação: | 2014 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Arquivos de neuro-psiquiatria (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2014000200119 |
Resumo: | Primary hemifacial spasm (HFS) is characterized by irregular and involuntary contraction of the muscles innervated by the ipsilateral facial nerve. Treatment controls symptoms and improves quality of life (QoL). Objective : Evaluate the initial diagnosis and treatment of HFS prior to referral to a tertiary center. Method : We interviewed through a standard questionnaire 66 patients currently followed in our center. Results : Mean age: 64.19±11.6 years, mean age of symptoms onset: 51.9±12.5 years, male/female ratio of 1:3. None of the patients had a correct diagnosis in their primary care evaluation. Medication was prescribed to 56.8%. Mean time from symptom onset to botulinum toxin treatment: 4.34 ±7.1 years, with a 95% satisfaction. Thirty percent presented social embarrassment due to HFS. Conclusion : Despite its relatively straightforward diagnosis, all patients had an incorrect diagnosis and treatment on their first evaluation. HFS brings social impairment and the delay in adequate treatment negatively impacts QoL. |
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Misdiagnosis of hemifacial spasm is a frequent event in the primary care settinghemifacial spasmmisdiagnosisbotulinum toxinPrimary hemifacial spasm (HFS) is characterized by irregular and involuntary contraction of the muscles innervated by the ipsilateral facial nerve. Treatment controls symptoms and improves quality of life (QoL). Objective : Evaluate the initial diagnosis and treatment of HFS prior to referral to a tertiary center. Method : We interviewed through a standard questionnaire 66 patients currently followed in our center. Results : Mean age: 64.19±11.6 years, mean age of symptoms onset: 51.9±12.5 years, male/female ratio of 1:3. None of the patients had a correct diagnosis in their primary care evaluation. Medication was prescribed to 56.8%. Mean time from symptom onset to botulinum toxin treatment: 4.34 ±7.1 years, with a 95% satisfaction. Thirty percent presented social embarrassment due to HFS. Conclusion : Despite its relatively straightforward diagnosis, all patients had an incorrect diagnosis and treatment on their first evaluation. HFS brings social impairment and the delay in adequate treatment negatively impacts QoL. Academia Brasileira de Neurologia - ABNEURO2014-02-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2014000200119Arquivos de Neuro-Psiquiatria v.72 n.2 2014reponame:Arquivos de neuro-psiquiatria (Online)instname:Academia Brasileira de Neurologiainstacron:ABNEURO10.1590/0004-282X20130227info:eu-repo/semantics/openAccessMartinez,Alberto R. M.Nunes,Marcelo B.Immich,Nayara D.Piovesana,LuizaFrança Jr,MarcondesCampos,Lidiane S.D?Abreu,Anelyssaeng2014-03-28T00:00:00Zoai:scielo:S0004-282X2014000200119Revistahttp://www.scielo.br/anphttps://old.scielo.br/oai/scielo-oai.php||revista.arquivos@abneuro.org1678-42270004-282Xopendoar:2014-03-28T00:00Arquivos de neuro-psiquiatria (Online) - Academia Brasileira de Neurologiafalse |
dc.title.none.fl_str_mv |
Misdiagnosis of hemifacial spasm is a frequent event in the primary care setting |
title |
Misdiagnosis of hemifacial spasm is a frequent event in the primary care setting |
spellingShingle |
Misdiagnosis of hemifacial spasm is a frequent event in the primary care setting Martinez,Alberto R. M. hemifacial spasm misdiagnosis botulinum toxin |
title_short |
Misdiagnosis of hemifacial spasm is a frequent event in the primary care setting |
title_full |
Misdiagnosis of hemifacial spasm is a frequent event in the primary care setting |
title_fullStr |
Misdiagnosis of hemifacial spasm is a frequent event in the primary care setting |
title_full_unstemmed |
Misdiagnosis of hemifacial spasm is a frequent event in the primary care setting |
title_sort |
Misdiagnosis of hemifacial spasm is a frequent event in the primary care setting |
author |
Martinez,Alberto R. M. |
author_facet |
Martinez,Alberto R. M. Nunes,Marcelo B. Immich,Nayara D. Piovesana,Luiza França Jr,Marcondes Campos,Lidiane S. D?Abreu,Anelyssa |
author_role |
author |
author2 |
Nunes,Marcelo B. Immich,Nayara D. Piovesana,Luiza França Jr,Marcondes Campos,Lidiane S. D?Abreu,Anelyssa |
author2_role |
author author author author author author |
dc.contributor.author.fl_str_mv |
Martinez,Alberto R. M. Nunes,Marcelo B. Immich,Nayara D. Piovesana,Luiza França Jr,Marcondes Campos,Lidiane S. D?Abreu,Anelyssa |
dc.subject.por.fl_str_mv |
hemifacial spasm misdiagnosis botulinum toxin |
topic |
hemifacial spasm misdiagnosis botulinum toxin |
description |
Primary hemifacial spasm (HFS) is characterized by irregular and involuntary contraction of the muscles innervated by the ipsilateral facial nerve. Treatment controls symptoms and improves quality of life (QoL). Objective : Evaluate the initial diagnosis and treatment of HFS prior to referral to a tertiary center. Method : We interviewed through a standard questionnaire 66 patients currently followed in our center. Results : Mean age: 64.19±11.6 years, mean age of symptoms onset: 51.9±12.5 years, male/female ratio of 1:3. None of the patients had a correct diagnosis in their primary care evaluation. Medication was prescribed to 56.8%. Mean time from symptom onset to botulinum toxin treatment: 4.34 ±7.1 years, with a 95% satisfaction. Thirty percent presented social embarrassment due to HFS. Conclusion : Despite its relatively straightforward diagnosis, all patients had an incorrect diagnosis and treatment on their first evaluation. HFS brings social impairment and the delay in adequate treatment negatively impacts QoL. |
publishDate |
2014 |
dc.date.none.fl_str_mv |
2014-02-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2014000200119 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2014000200119 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/0004-282X20130227 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Academia Brasileira de Neurologia - ABNEURO |
publisher.none.fl_str_mv |
Academia Brasileira de Neurologia - ABNEURO |
dc.source.none.fl_str_mv |
Arquivos de Neuro-Psiquiatria v.72 n.2 2014 reponame:Arquivos de neuro-psiquiatria (Online) instname:Academia Brasileira de Neurologia instacron:ABNEURO |
instname_str |
Academia Brasileira de Neurologia |
instacron_str |
ABNEURO |
institution |
ABNEURO |
reponame_str |
Arquivos de neuro-psiquiatria (Online) |
collection |
Arquivos de neuro-psiquiatria (Online) |
repository.name.fl_str_mv |
Arquivos de neuro-psiquiatria (Online) - Academia Brasileira de Neurologia |
repository.mail.fl_str_mv |
||revista.arquivos@abneuro.org |
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1754212775915159552 |