patient was resting, causing contraction of all the muscles innervated by the left seventh cranial nerve. MR angiography revealed a neurovascular compression of the left facial nerve by the anterior inferior cerebellar artery (AICA) (figures 1 and 2). The patient was taken to surgery and a microvascular decompression through a retrosigmoid approach was performed. Facial nerve function monitorin...

Although neurovascular confliction was believed to be the cause of hemifacial spasm (HFS), the mechanism of the disorder remains unclear to date. Current theories, merely focusing on the facial nerve, have failed to explain the clinical phenomenon of immediate relief following a successful microvascular decompression surgery (MVD). With the experience of thousands of microvascular decompression...

Nonmissile penetrating intracranial injuries are uncommon events in modern times. Most reported cases describe trajectories through the orbit, skull base foramina, or areas of thin bone such as the temporal squama. Patients who survive such injuries and come to medical attention often require foreign body removal. Critical neurovascular structures are often damaged or at risk of additional inju...

(1) Department of Neurology, University of Maryland School of Medicine, Baltimore, MD (2) Department of Neurology, Kansas University Medical Center, Kansas City, KS (3) Department of Neurology, University of Minnesota, Hennepin County Medical Center, Minneapolis, MN (4) Departments of Neurology and Neurological Surgery, Loyola University Chicago, Stritch School of Medicine, Chicago, IL (5) Depa...

A patient suffered a complete popliteal artery injury one month after a partial arthroscopic meniscectomy. The patient complained of progressive and severe distal pain. A complete lesion of the popliteal artery was found. Distal vascular flow was barely supported by two geniculate arteries. Vascular repair was performed using open vascular surgery. Although the popliteal neurovascular bundle is...

Lipoma is one of the most common benign soft tissue tumors. However, giant lipomas compressing and deforming neurovascular structure rarely occur in lateral neck. A 70-year-old man visited our outpatient clinic for treatment a visible painless neck mass that had been identified 2 years prior. Neck magnetic resonance imaging revealed 10 × 9 4 cm fatty located between sternocleidomastoid sternohy...

Osteochondromas display varying presentations depending on the age, site, duration, associated inflammation, fracture, neurovascular involvement, malignant transformation. In our series, we have managed 11 cases of osteochondroma through a range of treatment options including conservative management. 2 cases had cosmetic problem alone, 2 had neurological symptoms (foot drop), 2 had deformity, 2...

Traditional surgical decompression of the posterior tibial nerve yields equivocal results. The authors postulate that the posterior tibial artery is the most compromised structure in the neurovascular compartment and that the best surgical results in healing of plantar ulcers are achieved by the rechannelling of the blood flow in the posterior tibial artery during posterior tibial neurovascular...

We report a case of compartment syndrome complicating malignant hyperthermia (MH) in a 12-yr-old girl with a history of myopathy and multiple skeletal deformities; she underwent bilateral Achilles tendon surgery. Marked oedema of both forearms became evident in the immediate postoperative period and resolved after conservative treatment. Compartment syndrome is a rare complication of MH. Early ...