{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T11:25:35Z","timestamp":1778066735936,"version":"3.51.4"},"reference-count":19,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1984,11]]},"abstract":"<jats:p content-type=\"fine-print\">\u2713 The syndrome of tic convulsif consists of ipsilateral concurrent trigeminal neuralgia and hemifacial spasm. Since Cushing's 1920 description of this syndrome in three patients, 37 additional cases have been reported in the world literature. Of the 15 with adequate operative descriptions, 10 had vascular abnormalities and five had tumors. The authors report 11 cases of tic convulsif treated by microvascular decompression of both the fifth and seventh cranial nerves. At operation, 21 of 22 nerves were found to have root entry zone vascular compression. One trigeminal nerve was considered normal. One seventh nerve had a tumor displacing the anterior inferior cerebellar artery into its root entry zone. The average follow-up period in this series was 6 years 2 months (range 1 to 8\u00bd years). Eight patients (73%) were pain-free, two (18%) had frank recurrences, and one (9%) had mild discomfort. Eight patients (73%) were totally free of facial spasm, and two others (18%) had only a trace of residual spasm. These results are comparable to those achieved by treating the individual syndromes with microvascular decompression. Therefore, microvascular decompression of both the fifth and seventh cranial nerves is recommended as the treatment of choice in tic convulsif.<\/jats:p>","DOI":"10.3171\/jns.1984.61.5.0949","type":"journal-article","created":{"date-parts":[[2009,5,8]],"date-time":"2009-05-08T16:20:37Z","timestamp":1241799637000},"page":"949-951","source":"Crossref","is-referenced-by-count":54,"title":["Tic convulsif: results in 11 cases treated with microvascular decompression of the fifth and seventh cranial nerves"],"prefix":"10.3171","volume":"61","author":[{"given":"Bruce R.","family":"Cook","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter J.","family":"Jannetta","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"key":"b1","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"342","DOI":"10.3171\/jns.1947.4.4.0342","article-title":"Hemifacial spasm: a note on the etiology in two cases.","volume":"4","author":"Campbell","year":"1947"},{"key":"b2","series-title":"Am J Med Sci","doi-asserted-by":"publisher","first-page":"157","DOI":"10.1097\/00000441-192008000-00001","article-title":"The major trigeminal neuralgias and their surgical treatment based on experiences with 332 Gasserian operations.","volume":"160","author":"Cushing","year":"1920"},{"key":"b3","series-title":"Arch Neurol Psychiatry","doi-asserted-by":"publisher","first-page":"205","DOI":"10.1001\/archneurpsyc.1945.02300030042006","article-title":"Hemifacial spasm. Review of one hundred and six cases.","volume":"53","author":"Ehni","year":"1945"},{"key":"b4","series-title":"Clin Neurosurg","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1093\/neurosurgery\/15.CN_suppl_1.1","article-title":"Trigeminal neuralgia.","volume":"15","author":"Gardner","year":"1968"},{"key":"b5","series-title":"Trigeminal Neuralgia.","first-page":"153","article-title":"Trigeminal neuralgia","author":"Gardner","year":"1970"},{"key":"b6","series-title":"Brain","doi-asserted-by":"publisher","first-page":"555","DOI":"10.1093\/brain\/89.3.555","article-title":"Trigeminal neuralgia \u2014 hemifacial spasm \u2014 Paget's disease. Significance of this association.","volume":"89","author":"Gardner","year":"1966"},{"key":"b7","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"240","DOI":"10.3171\/jns.1962.19.3.0240","article-title":"Hemifacial spasm \u2014 a reversible pathophysiologic state.","volume":"19","author":"Gardner","year":"1962"},{"key":"b8","series-title":"Brain","doi-asserted-by":"publisher","first-page":"209","DOI":"10.1093\/brain\/63.3.209","article-title":"An analysis of 1,433 cases of paroxysmal trigeminal neuralgia (trigeminal-tic) and the end-results of Gasserian alcohol injection.","volume":"63","author":"Harris","year":"1940"},{"key":"b9","series-title":"Lancet","first-page":"657","article-title":"Treatment of clonic facial spasm (a) by alcohol injection, (b) by nerve anastomosis.","volume":"1","author":"Harris","year":"1932"},{"key":"b10","series-title":"Ann Surg","doi-asserted-by":"publisher","first-page":"518","DOI":"10.1097\/00000658-198010000-00010","article-title":"Neurovascular compression in cranial nerve and systemic disease.","volume":"192","author":"Jannetta","year":"1980"},{"key":"b11","series-title":"Ann Am Instit Oral Biol","first-page":"51","article-title":"Atypical trigeminal neuralgia.","volume":"30","author":"Laha","year":"1980"},{"key":"b12","series-title":"Postgrad Med J","doi-asserted-by":"publisher","first-page":"742","DOI":"10.1136\/pgmj.49.576.742","article-title":"Tic convulsif: the association of trigeminal neuralgia and hemifacial spasm.","volume":"49","author":"Maurice-Williams","year":"1973"},{"key":"b13","series-title":"No Shinkei Geka","first-page":"1167","article-title":"Trigeminal neuralgia and hemifacial spasm caused by the compression of tortuous vertebrobasilar system\u2014a case report.","volume":"9","author":"Niizuma","year":"1981"},{"key":"b14","series-title":"J Neurol Neurosurg Psychiatry","doi-asserted-by":"publisher","first-page":"192","DOI":"10.1136\/jnnp.40.2.192","article-title":"Painful tic convulsif.","volume":"40","author":"Pulsinelli","year":"1977"},{"key":"b15","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"233","DOI":"10.3171\/jns.1947.4.3.0233","article-title":"Tic douloureux and its relationship to tumors of the posterior fossa. Analysis of twenty-four cases.","volume":"4","author":"Revilla","year":"1947"},{"key":"b16","series-title":"J Fla Med Assoc","first-page":"425","article-title":"Microsurgical neurovascular decompression for trigeminal neuralgia and hemifacial spasm.","volume":"65","author":"Rhoton","year":"1978"},{"key":"b17","series-title":"Surg Neurol","doi-asserted-by":"publisher","first-page":"244","DOI":"10.1016\/S0090-3019(83)80008-1","article-title":"Epidermoid tumor presenting as painful tic convulsif.","volume":"19","author":"Wakabayashi","year":"1983"},{"key":"b18","series-title":"West J Med","first-page":"481","article-title":"Microsurgical vascular decompression for trigeminal neuralgia and hemifacial spasm.","volume":"132","author":"Wilson","year":"1980"},{"key":"b19","series-title":"Neurosurgery","first-page":"273","article-title":"Neurinoma of the trigeminal root and atypical trigeminal neuralgia: their commonality.","volume":"6","author":"Yonas","year":"1980"}],"container-title":["Journal of Neurosurgery"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/61\/5\/article-p949.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg\/61\/5\/article-p949.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg\/61\/5\/article-p949.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,7,24]],"date-time":"2022-07-24T18:18:00Z","timestamp":1658686680000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/61\/5\/article-p949.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1984,11]]},"references-count":19,"journal-issue":{"issue":"5"},"URL":"https:\/\/doi.org\/10.3171\/jns.1984.61.5.0949","relation":{},"ISSN":["0022-3085"],"issn-type":[{"value":"0022-3085","type":"print"}],"subject":[],"published":{"date-parts":[[1984,11]]}}}