Hemifacial spasm and blepharospasm caused by vertebral artery dolichoectasia

Hemifacial spasm and blepharospasm are crippling medical conditions that severely affect the quality of life of patients.Among differential diagnosis, the ectasia of vertebro-basilar vessels should be taken into account, and treated accordingly.Authors report the case of a 60-years old male with a two-year history of involuntary intermittent twitching of the right eye and right side of the upper lip.MRI of the brain suggested a dolichoectasia of the vertebral artery.The condition was almost refractory to drugs and the patient was referred for neurosurgical intervention.