JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES) ›› 2015, Vol. 53 ›› Issue (10): 55-57.doi: 10.6040/j.issn.1671-7554.0.2015.274

Previous Articles     Next Articles

Neuroendoscopic microvascular decompression for hemifacial spasm through retrosigmoid key hole approach

XU Ran, MA Xiangyu, LI Weiguo, LI Chao, ZHANG Xin, XU Shujun, LI Xingang   

  1. Department of Neurosurgery, Qilu Hospital of Shandong University, Jinan 250012, Shandong, China
  • Received:2015-03-16 Online:2015-10-10 Published:2015-10-10

PDF (PC)

320

Abstract: Objective To explore the surgical techniques of neuroendoscopic microvascular decompression for hemifacial spasm through retrosigmoid key hole approach. Methods A total of 31 patients with hemifacial spasm were selected based on clinical symptoms and conditions after drug use. Then neuroendoscopic microvascular decompression through retrosigmoid key hole approach was performed. Results After surgery, pain disappeared in 24 (77.4%) and reduced in 6 patients (19.4%), while 1 patient (3.2%) showed no obvious amelioration. Postoperative complications included mild facial parelysis in 3 cases (9.68%), hearing loss in 2 cases (6.45%), headache with frequent nausea and vomiting in 1 case (3.23%), and fever in 2 cases (6.45%). No postoperative bleeding, cerebellum contusion, leakage of cerebrospinal fluid or blade poor healing were observed. Conclusion Neuroendoscopic microvascular decompression through retrosigmoid key hole approach is a novel, effective and minimally invasive way to treat hemifacial spasm.

Key words: Microvascular decompression, Neuroendoscopic, Retrosigmoid key hole approach, Hemifacial spasm

CLC Number: 

  • R616.2
[1] Cheng WY, Chao SC, Shen CC, et al. Endoscopic microvascular decompression of the hemifacial spasm[J]. Surg Neurol, 2008, 70(Suppl 1): 40-46.
[2] Sindou M, Keravel Y. Neurosurgical treatment of primary hemifacial spasm with microvascular decompression[J]. Neurochirurgie, 2009, 55(2): 236-247.
[3] Cohen-Gadol AA. Microvascular decompression surgery for trigeminal neuralgia and hemifacial spasm: naunces of the technique based on experiences with 100 patients and review of the literature[J]. Clin Neurol Neurosurg, 2011, 113(10): 844-853.
[4] Zhong J, Li ST, Zhu J, et al. Is entire nerve root decompression necessary for hemifacial spasm?[J]. Int J Surg, 2011, 9(3): 254-257.
[5] Halpern CH, Lang SS, Lee JY. Fully endoscopic microvascular decompression: our early experience[J]. Minimally Invasive Surgery, 2013, 2013: 739432. doi: 10.1155/2013/739432.
[6] Kawashima M, Yamada M, Sato S, et al. Hemifacial spasm caused by vascular compression of the distal portion of the facial nerve associated with configuration variation of the facial and vestibulocochlear nerve complex[J]. Turkish Neurosurgery, 2009, 19(3): 269-275.
[7] Xia L, Zhong J, Zhu J, et al. Delayed relief of hemifacial spasm after microvascular decompression[J]. J Craniofac Surg, 2015, 26(2): 408-410.
[8] Jo KW, Kong DS, Park K. Microvascular decompression for hemifacial spasm: long-term outcome and prognostic factors, with emphasis on delayed cure[J]. Neurosurg Rev, 2013, 36(2): 297-301.
[9] 任杰, 袁越, 张黎, 等. 面神经远端血管压迫对面肌痉挛手术疗效的影响[J]. 中华神经外科杂志, 2011, 1(27): 48-51.REN Jie,YUAN Yue, ZHANG Li, et al. Influence of distal portion compression of facial nerve in hemifacial spasm surgery[J]. Chinese Journal of Neurosurgery, 2011, 1(27): 48-51.
[10] Moller AR,Moller MB. Microvascular decompression operations[J]. Prog Brain Res, 2007, 166: 397-400.
[11] Ray DK, Bahgat D, McCartney S, et al. Surgical outcome and improvement in quality of life after microvascular decompression for hemifacial spasms: a case series assessment using a validated disease-specific scale[J]. Stereotact Funct Neurosurg, 2010, 88(6): 383-389.
[12] Lescanne E, FranPois P, Velut S. Cerebellopontine cistern: microanatomy applied to vestibular schwannomas[J]. Prog Neurol Surg, 2008, 21: 43-53.
[13] Tatagiba MS, Roser F, Hirt B, et al. The retrosigmoid endoscopic approach for cerebellopontine-angle tumors and microvascular decompression[J].World Neurosurg, 2014, 82(6 Suppl): S171-176.
[14] Saylam C, Ucerler H, Orhan M, et al. The relationship of the posterior inferior cerebellar artery to cranial nerves VII-XII[J]. Clin Anat, 2007, 20(8): 886-891.
[1] ZHANG Bin, ZHANG Liangwen, CHI Lingyi, WANG Chuanwei, ZHU Shugan. Influencing factors on the curative effect of microvascular decompression in the treatment of primary trigeminal neuralgia [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2016, 54(6): 69-72.
[2] FENG Zichao, WANG Jiwei, LI Chao, LI Weiguo, CHEN Teng, MA Xiangyu, XU Shujun, LI Xingang. Role of pure neuroendoscopy in cerebellopontine angle area surgery [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2016, 54(10): 71-75.
[3] WANG Jiwei, LI Chao, CHEN Teng, ZHANG Wenhua, LI Weiguo, MA Xiangyu, XU Shujun, LI Xingang. Simple endoscopic vascular decompression in the treatment of trigeminal neuralgia [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2015, 53(4): 83-86.
[4] ZHOU Ting-fa1, TANG Zhen-shen2. Effect of dexmedetomidine on general anesthesia in
hypertensive patients undergoing craniectomy [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2012, 50(8): 81-.
[5] ZHANG Liang-wen, WANG Ping, LI Feng, YANG Yang, ZHU Shu-gan. Treatment of primary trigeminal neuralgia by microvascular  decompression: report of 142 cases [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2011, 49(3): 99-101.
[6] ZHANG Liang-wen, WANG Ping, LI Feng, YANG Yang, ZHU Shu-gan. Treatment of primary trigeminal neuralgia by microvascular  decompression: report of 142 cases [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2011, 49(3): 99-101.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
No Suggested Reading articles found!
Copyright 2018 © Editorial office of Journal of Shandong University (Health Sciences)
Supported by Beijing Magtech Co.Ltd