%A Inghilleri, Maurizio %A Onesti, Emanuela %A Frasca, Vittorio %D 2016 %T HEMIFACIAL SPASM IN LATE-ONSET MULTIPLE SCLEROSIS: A CASE REPORT AND LITERATURE REVIEW %K Hemifacial spasm; Multiple Sclerosis; Late-onset multiple sclerosis; HFS; LOMS. %X Movement disorders are rare manifestations of late-onset multiple sclerosis (LOMS). We report a case of a 62 years old man who presented an acute onset of unilateral sustained, irregular, brief contracture in his left-side facial muscles. Clinical, neurophysological and neuroimaging exams allowed a diagnosis of hemifacial spasm (HFS) in MS. Specifically, needle electromyography revealed repetitive motor unit action potentials firing at high frequency discharge (100-150 Hz) in the affected facial muscles., suggesting that demyelinating lesion involved the lower facial motor neurons in the intra-axial exit zone. Blink reflex findings confirmed the efferent demyelinating injury. In literature HFS explicitly associated with MS are described but not as first presentation symptoms of LOMS. A careful neurophysiological evaluation can modify the interpretation of an atypical clinical presentation, allowing to establish the specific anatomical location and extent of injury, and the most appropriate treatment. %U https://esmed.org/MRA/mra/article/view/839 %J Medical Research Archives %0 Journal Article %V 4 %N 7 %@ 2375-1924 %8 2016-11-17