Delayed Cranial Nerve Palsy after Microvascular Decompression for Hemifacial Spasm

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Delayed Cranial Nerve Palsy after Microvascular Decompression for Hemifacial Spasm

OBJECTIVE Microvascular decompression (MVD) for hemifacial spasm (HFS) is a safe and effective treatment with favorable outcomes. The purpose of this study was to evaluate the incidence of delayed cranirve ( VI, VII, and VIII ) palsy following MVD and its clinical courses. METHODS Between January 1998 and December 2009, 1354 patients underwent MVD for HFS at our institution. Of them, 100 pati...

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Lower cranial nerve palsy after the infrafloccular approach in microvascular decompression for hemifacial spasm

BACKGROUND The infrafloccular approach was introduced as a variation in microvascular decompression (MVD) for hemifacial spasm. However, the rate of postoperative lower cranial nerve (CN) palsy can be high. This study investigated the surgical factors in relation to the occurrence of postoperative lower CN palsy. METHODS The case records of 103 patients who underwent MVD were reviewed. Dissec...

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Delayed Dural Arteriovenous Fistula after Microvascular Decompression for Hemifacial Spasm

Dural arteriovenous fistula (AVF) is very rare, acquired lesion that may present with intracranial hemorrhage or neurological deficits. The etiology is not completely understood but dural AVF often has been associated with thrombosis of the involved dural sinuses. To our knowledge, this is the first well documented intracranial hemorrhage case caused by dural AVF following microvascular decompr...

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Delayed Unilateral Soft Palate Palsy without Vocal Cord Involvement after Microvascular Decompression for Hemifacial Spasm

Microvascular decompression is a very effective and relatively safe surgical modality in the treatment of hemifacial spasm. But rare debilitating complications have been reported such as cranial nerve dysfunctions. We have experienced a very rare case of unilateral soft palate palsy without the involvement of vocal cord following microvascular decompression. A 33-year-old female presented to ou...

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Repeat microvascular decompression for hemifacial spasm.

OBJECTIVE To report our experience with repeat microvascular decompression (MVD) for hemifacial spasm (HFS) in patients who have failed their first operation. METHODS The authors describe 41 redo MVDs for HFS in 36 patients performed over a 3 year period. Seven patients underwent early re-operation after an aborted seventh nerve decompression. Eight patients underwent early re-operation for c...

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ژورنال

عنوان ژورنال: Journal of Korean Neurosurgical Society

سال: 2012

ISSN: 2005-3711,1598-7876

DOI: 10.3340/jkns.2012.52.4.288