Microvascular decompression in patients with hemifacial spasm
Abstract Purpose To study blood pressure alterations after microvascular decompression (MVD) surgery in patients with hemifacial spasm (HFS). Methods A retrospective study was performed to review HFS patients who received MVD surgery between January 2014 and December 2016. Vessels that were consider...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2019-11-01
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| Series: | Brain and Behavior |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/brb3.1432 |
| _version_ | 1818555904910426112 |
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| author | Xuegang Niu Hongtao Sun Fei Yuan Xuyi Chen Zhengjun Wei Hang Wang Jibin Ren Jian Zhang Weixin Li |
| author_facet | Xuegang Niu Hongtao Sun Fei Yuan Xuyi Chen Zhengjun Wei Hang Wang Jibin Ren Jian Zhang Weixin Li |
| author_sort | Xuegang Niu |
| collection | DOAJ |
| description | Abstract Purpose To study blood pressure alterations after microvascular decompression (MVD) surgery in patients with hemifacial spasm (HFS). Methods A retrospective study was performed to review HFS patients who received MVD surgery between January 2014 and December 2016. Vessels that were considered to be responsible for HFS were determined by reviewing the brain magnetic resonance imaging, magnetic resonance angiography, and surgical video. Blood pressure measurements were performed 1 day before (preoperative) and 7 days after (postoperative) the MVD surgery. Pre‐ and postoperative blood pressure measurements were compared. Results A total of 374 patients were included in the study, with 118 (31.6%) male patients, age 53.8 ± 9.9 years old, and 141 (37.7%) patients with hypertension. Systolic blood pressure had statistically significant decrease in patients with (134.5 ± 8.2–132.6 ± 9.1 mmHg, p = .01) or without (125.6 ± 9.1–123.8 ± 10.0 mmHg, p = .01) hypertension. Diastolic blood pressure only had statistically significant decrease in patients with hypertension (83.0 ± 5.8–82.0 ± 6.5 mmHg, p = .04). Analyses in all the study patients and in the subgroup of patients with hypertension showed that more statistically significant blood pressure reductions were observed when left‐side vessel or vertebrobasilar artery was involved. Conclusion In patients with HFS, MVD not only decreased blood pressure in patients with hypertension but also affected blood pressure in patients without hypertension. Blood pressure reductions were more prominent when left‐side vessel or vertebrobasilar artery was involved. |
| first_indexed | 2024-12-13T02:59:05Z |
| format | Article |
| id | doaj.art-3eedb54fc1784da4b86c4c4083e68e8e |
| institution | Directory Open Access Journal |
| issn | 2162-3279 |
| language | English |
| last_indexed | 2024-12-13T02:59:05Z |
| publishDate | 2019-11-01 |
| publisher | Wiley |
| record_format | Article |
| series | Brain and Behavior |
| spelling | doaj.art-3eedb54fc1784da4b86c4c4083e68e8e2022-12-22T00:01:52ZengWileyBrain and Behavior2162-32792019-11-01911n/an/a10.1002/brb3.1432Microvascular decompression in patients with hemifacial spasmXuegang Niu0Hongtao Sun1Fei Yuan2Xuyi Chen3Zhengjun Wei4Hang Wang5Jibin Ren6Jian Zhang7Weixin Li8Institution of Neurological Trauma and Repair Characteristic Medical Center of the Chinese People's Armed Police Force Tianjin ChinaInstitution of Neurological Trauma and Repair Characteristic Medical Center of the Chinese People's Armed Police Force Tianjin ChinaDepartment of Radiology Characteristic Medical Center of the Chinese People's Armed Police Force Tianjin ChinaInstitution of Neurological Trauma and Repair Characteristic Medical Center of the Chinese People's Armed Police Force Tianjin ChinaInstitution of Neurological Trauma and Repair Characteristic Medical Center of the Chinese People's Armed Police Force Tianjin ChinaInstitution of Neurological Trauma and Repair Characteristic Medical Center of the Chinese People's Armed Police Force Tianjin ChinaInstitution of Neurological Trauma and Repair Characteristic Medical Center of the Chinese People's Armed Police Force Tianjin ChinaInstitution of Neurological Trauma and Repair Characteristic Medical Center of the Chinese People's Armed Police Force Tianjin ChinaLogistics College of the Chinese People's Armed Police Force Tianjin ChinaAbstract Purpose To study blood pressure alterations after microvascular decompression (MVD) surgery in patients with hemifacial spasm (HFS). Methods A retrospective study was performed to review HFS patients who received MVD surgery between January 2014 and December 2016. Vessels that were considered to be responsible for HFS were determined by reviewing the brain magnetic resonance imaging, magnetic resonance angiography, and surgical video. Blood pressure measurements were performed 1 day before (preoperative) and 7 days after (postoperative) the MVD surgery. Pre‐ and postoperative blood pressure measurements were compared. Results A total of 374 patients were included in the study, with 118 (31.6%) male patients, age 53.8 ± 9.9 years old, and 141 (37.7%) patients with hypertension. Systolic blood pressure had statistically significant decrease in patients with (134.5 ± 8.2–132.6 ± 9.1 mmHg, p = .01) or without (125.6 ± 9.1–123.8 ± 10.0 mmHg, p = .01) hypertension. Diastolic blood pressure only had statistically significant decrease in patients with hypertension (83.0 ± 5.8–82.0 ± 6.5 mmHg, p = .04). Analyses in all the study patients and in the subgroup of patients with hypertension showed that more statistically significant blood pressure reductions were observed when left‐side vessel or vertebrobasilar artery was involved. Conclusion In patients with HFS, MVD not only decreased blood pressure in patients with hypertension but also affected blood pressure in patients without hypertension. Blood pressure reductions were more prominent when left‐side vessel or vertebrobasilar artery was involved.https://doi.org/10.1002/brb3.1432hemifacial spasmhypertensionmicrovascular decompressionneurovascular compression |
| spellingShingle | Xuegang Niu Hongtao Sun Fei Yuan Xuyi Chen Zhengjun Wei Hang Wang Jibin Ren Jian Zhang Weixin Li Microvascular decompression in patients with hemifacial spasm Brain and Behavior hemifacial spasm hypertension microvascular decompression neurovascular compression |
| title | Microvascular decompression in patients with hemifacial spasm |
| title_full | Microvascular decompression in patients with hemifacial spasm |
| title_fullStr | Microvascular decompression in patients with hemifacial spasm |
| title_full_unstemmed | Microvascular decompression in patients with hemifacial spasm |
| title_short | Microvascular decompression in patients with hemifacial spasm |
| title_sort | microvascular decompression in patients with hemifacial spasm |
| topic | hemifacial spasm hypertension microvascular decompression neurovascular compression |
| url | https://doi.org/10.1002/brb3.1432 |
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