Ameliorating effect of microvascular decompression on patients with coexistence of hemifacial spasm and glossopharyngeal neuralgia: a retrospective study.

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ID: 16777
2019
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Abstract
Microvascular decompression (MVD) has been widely accepted for treating hemifacial spasm (HFS) and glossopharyngeal neuralgia (GN), however, an effective surgical treatment of coexistent HFS and GN still remains to be determined.To discuss the operative strategy of MVD for patients with coexistent HFS and GN.This was a retrospective study. All cases of HFS with or without GN in China-Japan Friendship Hospital from January 2014 to June 2016 have been included. All patients underwent MVD have been followed up for an average of 1.5 years.5375 cases of HFS were included wherein eight cases coexist with GN. Eight patients had same offending vessel(s) compressing the root entry zone (REZ) of glossopharyngeal nerve and facial nerve. Posterior inferior cerebellar artery (PICA) was identified as at least one of the offending arteries in all 8 patients. After MVD, spasm ceased in all 8 cases with 7 cases immediately and one within 2 months. Pain disappeared also in all cases with 7 cases immediately and 1 case after 4 days. No recurrence or complication was observed during the follow-ups.HFS combined with ipsilateral GN was very rare. MVD could be performed to effectively relieve nerve root compression and associated symptoms for coexistent HFS and GN. Sufficient exposure of REZs of both nerves and fully decompression of offending blood vessels and exploratory sequences of different nerve roots are critical points for improving operative effect and reducing complications.
Reference Key
liu2019amelioratingworld Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Liu, Jiang;Shen, Yuxiao;Jiang, Bowen;Yuan, Yue;Yu, Yanbing;
Journal world neurosurgery
Year 2019
DOI
S1878-8750(19)32224-7
URL
Keywords Keywords not found

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