We describe an additional case of spastic paretic hemifacial contracture, an uncommon condition characterized by sustained unilateral contraction of the facial muscles associated with mild ipsilateral facial paresis. This entity has only rarely been associated with multiple sclerosis (MS) and can be mistaken for hemifacial spasm. Early consideration of MS in the differential diagnosis of young patients admitted with these symptoms is essential.
Fastré, S., Hanson, P., & London, F. (2017). Spastic paretic hemifacial contracture related to multiple sclerosis: a rare and under-recognized entity. Acta Neurologica Belgica, 117(4), 927-929. https://doi.org/10.1007/s13760-017-0817-4 (Original work published 2017)