A recommendation on the basis of long-term follow-up resultsof our microvascular decompression operation for hemifacial spasm

2013 ◽  
Vol 155 (9) ◽  
pp. 1693-1697 ◽  
Author(s):  
Atsushi Fukunaga ◽  
Katsuyoshi Shimizu ◽  
Takahito Yazaki ◽  
Masato Ochiai
Keyword(s):  
Hemifacial Spasm ◽  
Microvascular Decompression ◽  
Long Term Follow Up ◽  
Decompression Operation

Microvascular Decompression for Hemifacial Spasm: A Long-Term Follow-Up of 1,169 Consecutive Cases

2001 ◽  
Vol 77 (1-4) ◽  
pp. 190-193 ◽  
Author(s):  
Sang Sup Chung ◽  
Jong Hee Chang ◽  
Jae Young Choi ◽  
Jin Woo Chang ◽  
Young Gou Park
Keyword(s):  
Hemifacial Spasm ◽  
Microvascular Decompression ◽  
Long Term Follow Up

Microvascular decompression as a surgical management for trigeminal neuralgia: long-term follow-up and review of the literature

2008 ◽  
Vol 32 (1) ◽  
pp. 87-94 ◽  
Author(s):  
Serdar Kabatas ◽  
Aykut Karasu ◽  
Erdinc Civelek ◽  
Akin P. Sabanci ◽  
Kemal T. Hepgul ◽  
...  
Keyword(s):  
Trigeminal Neuralgia ◽  
Surgical Management ◽  
Microvascular Decompression ◽  
Review Of The Literature ◽  
Long Term Follow Up

Microvascular decompression of cochlear nerve for tinnitus incapacity: pre-surgical data, surgical analyses and long-term follow-up of 15 patients

2007 ◽  
Vol 265 (4) ◽  
pp. 397-401 ◽  
Author(s):  
Nicolas Guevara ◽  
Arnaud Deveze ◽  
Valeriu Buza ◽  
Benoît Laffont ◽  
Jacques Magnan
Keyword(s):  
Microvascular Decompression ◽  
Cochlear Nerve ◽  
Long Term Follow Up ◽  
Surgical Data

Surgical Treatment of Secondary Hemifacial Spasm: Long-Term Follow-Up

2019 ◽  
Vol 125 ◽  
pp. e10-e15 ◽  
Author(s):  
Xin Zhang ◽  
Xu-Hui Wang ◽  
Hua Zhao ◽  
Yin-Da Tang ◽  
Ping Zhou ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Hemifacial Spasm ◽  
Long Term Follow Up

scholarly journals Microvascular decompression for hemifacial spasm involving the vertebral artery

2021 ◽  
Author(s):  
Jing Wang ◽  
Yulong Chong ◽  
Chengrong Jiang ◽  
Yuxiang Dai ◽  
Weibang Liang ◽  
...  
Keyword(s):  
Vertebral Artery ◽  
Hemifacial Spasm ◽  
Microvascular Decompression ◽  
Surgical Outcomes ◽  
Cranial Nerve ◽  
Cure Rate ◽  
Group A ◽  
Group B

Abstract Objective Microvascular decompression (MVD) has become an accepted treatment modality for the vertebral artery (VA)–involved hemifacial spasm (HFS). The aim of this retrospective study was to evaluate clinical and surgical outcomes of HFS patients undergoing MVD and surgical and cranial nerve complications and investigate reasonable transposition procedures for two different anatomic variations of VA. Methods Between January and December 2018, 109 patients underwent first MVD for HFS involving VA at Nanjing Drum Tower Hospital. Based on whether the VA could be moved ventrally at the lower cranial nerves (LCNs) level, patients were assigned to Group A (movable VA, n = 72) or B (unmovable VA, n = 37), and clinical and surgical outcomes and complications on the day of post-surgery and during follow-up were assessed. All patients were followed up ranging from 17 to 24 months with a mean follow-up period of 21 months. Results After a mean follow-up of 21 months, the total cure rate significantly decreased in all patients compared to that achieved on the day of surgery, and Group A patients exhibited a higher cure rate versus Group B (93.1% vs. 75.7%, P = 0.015). Group B patients with unmovable VA revealed both higher incidence of surgical complications (45.9% vs. 15.3%, P = 0.001) and frequency of bilateral VA compression (27% vs. 8.3%, P = 0.009) versus Group A. No significant difference was observed in long-term cranial nerve complications. Conclusions VA-involved HFS can benefit from MVD strategies after preoperative assessment of VA compression. HFS patients with movable VA may receive better long-term efficacy and fewer complications. A Teflon bridge wedged between the distal VA and medulla gives rise to adequate space for decompression surgery.

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