Clinical analysis on hemifacial spasm treated by microvascular decompression
Objective To analyze the operating points and evaluate the therapeutic efficacy and safety of microvascular decompression (MVD) for hemifacial spasm (HFS). Methods The clinical data of 54 patients with HFS underwent MVD were analyzed retrospectively. The offending vessels included anterior inferior...
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| Format: | Article |
| Language: | English |
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Tianjin Huanhu Hospital
2018-10-01
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| Series: | Chinese Journal of Contemporary Neurology and Neurosurgery |
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| Online Access: | http://www.cjcnn.org/index.php/cjcnn/article/view/1856 |
| _version_ | 1818038376938340352 |
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| author | Zhong-hua XU Yan-shen TANG Yao-hua YAN |
| author_facet | Zhong-hua XU Yan-shen TANG Yao-hua YAN |
| author_sort | Zhong-hua XU |
| collection | DOAJ |
| description | Objective To analyze the operating points and evaluate the therapeutic efficacy and safety of microvascular decompression (MVD) for hemifacial spasm (HFS). Methods The clinical data of 54 patients with HFS underwent MVD were analyzed retrospectively. The offending vessels included anterior inferior cerebellar artery (AICA) in 32 cases (59.26%), posterior inferior cerebellar artery (PICA) in 11 cases (20.37%), vertebral artery (VA) in 5 cases (9.26%), both AICA and PICA in 6 cases (11.11%). Results After an average of 2 years of follow-up, 46 cases (85.19%) were completely relieved, 5 cases (9.26% ) were markedly relieved, 2 cases (3.70% ) were partially relieved, and one case (1.85% ) had no significant change. The total effective rate was 94.44% (51/54). There were 4 cases (7.41% ) with mild facial paralysis, 2 cases (3.70% ) with hearing loss, and 4 cases (7.41% ) with delayed resolution after operation, and no intracranial hematoma, intracranial infection, cerebrospinal fluid (CSF) leakage or death occurred during the perioperative period. Conclusions MVD is effective and safe in the treatment of HFS. Adept operation skills, correct identification of offending vessels, and effective decompression are the key to successful operation. Intraoperative electrophysiological monitoring can be used to identify the effect of operation and reduce postoperative complications.
DOI: 10.3969/j.issn.1672-6731.2018.10.012 |
| first_indexed | 2024-12-10T07:41:46Z |
| format | Article |
| id | doaj.art-f0fa852f7f4f4e46b07ad8264466de51 |
| institution | Directory Open Access Journal |
| issn | 1672-6731 |
| language | English |
| last_indexed | 2024-12-10T07:41:46Z |
| publishDate | 2018-10-01 |
| publisher | Tianjin Huanhu Hospital |
| record_format | Article |
| series | Chinese Journal of Contemporary Neurology and Neurosurgery |
| spelling | doaj.art-f0fa852f7f4f4e46b07ad8264466de512022-12-22T01:57:18ZengTianjin Huanhu HospitalChinese Journal of Contemporary Neurology and Neurosurgery1672-67312018-10-01181075475710.3969/j.issn.1672-6731.2018.10.0121811Clinical analysis on hemifacial spasm treated by microvascular decompressionZhong-hua XU0Yan-shen TANG1Yao-hua YAN2Department of Neurosurgery, Rugao Boai Hospital, Rugao 226500, Jiangsu, ChinaDepartment of Neurosurgery, Rugao Boai Hospital, Rugao 226500, Jiangsu, ChinaDepartment of Neurosurgery, Affiliated Hospital of Nantong University, Nantong 226000, Jiangsu, ChinaObjective To analyze the operating points and evaluate the therapeutic efficacy and safety of microvascular decompression (MVD) for hemifacial spasm (HFS). Methods The clinical data of 54 patients with HFS underwent MVD were analyzed retrospectively. The offending vessels included anterior inferior cerebellar artery (AICA) in 32 cases (59.26%), posterior inferior cerebellar artery (PICA) in 11 cases (20.37%), vertebral artery (VA) in 5 cases (9.26%), both AICA and PICA in 6 cases (11.11%). Results After an average of 2 years of follow-up, 46 cases (85.19%) were completely relieved, 5 cases (9.26% ) were markedly relieved, 2 cases (3.70% ) were partially relieved, and one case (1.85% ) had no significant change. The total effective rate was 94.44% (51/54). There were 4 cases (7.41% ) with mild facial paralysis, 2 cases (3.70% ) with hearing loss, and 4 cases (7.41% ) with delayed resolution after operation, and no intracranial hematoma, intracranial infection, cerebrospinal fluid (CSF) leakage or death occurred during the perioperative period. Conclusions MVD is effective and safe in the treatment of HFS. Adept operation skills, correct identification of offending vessels, and effective decompression are the key to successful operation. Intraoperative electrophysiological monitoring can be used to identify the effect of operation and reduce postoperative complications. DOI: 10.3969/j.issn.1672-6731.2018.10.012http://www.cjcnn.org/index.php/cjcnn/article/view/1856Hemifacial spasmMicrosurgery |
| spellingShingle | Zhong-hua XU Yan-shen TANG Yao-hua YAN Clinical analysis on hemifacial spasm treated by microvascular decompression Chinese Journal of Contemporary Neurology and Neurosurgery Hemifacial spasm Microsurgery |
| title | Clinical analysis on hemifacial spasm treated by microvascular decompression |
| title_full | Clinical analysis on hemifacial spasm treated by microvascular decompression |
| title_fullStr | Clinical analysis on hemifacial spasm treated by microvascular decompression |
| title_full_unstemmed | Clinical analysis on hemifacial spasm treated by microvascular decompression |
| title_short | Clinical analysis on hemifacial spasm treated by microvascular decompression |
| title_sort | clinical analysis on hemifacial spasm treated by microvascular decompression |
| topic | Hemifacial spasm Microsurgery |
| url | http://www.cjcnn.org/index.php/cjcnn/article/view/1856 |
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