Neuroendoscopy in microvascular decompression for hemifacial spasm
10.3760/cma.j.issn.1671-8925.2011.01.014
- VernacularTitle:神经内镜在面肌痉挛微血管减压术中的应用研究
- Author:
Jian CHEN
1
;
Yan-Chun SUN
;
Qing-Lei HU
;
Zhao-Ping WANG
;
Jian XUE
;
Yan-Jun CHONG
Author Information
1. 济宁市第一人民医院
- Keywords:
Neuroendoscope;
Hemifacialspasm;
Microvascular decompression
- From:
Chinese Journal of Neuromedicine
2011;10(1):59-62
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the value ofneuroendoscope in microvascular decompression for treatment of primary hemifacial spasm. Methods One hundred and eighteen patients with hemifacial spasm, admitted to our hospital from December 2006 to December 2009, underwent endoscope-assisted microvascular decompression via suboccipital retrosigmoid approach; their clinical data and treatment efficacy were retrospectively analyzed. Results The offending vessels were found in 106 patients (89.83%) under microscope, of which 7 (5.93%) were again found other offending vessels under neuroendoscope. Eight patients (6.78%) were noted as no significant vascular compression under microscope, but the offending vessels of these patients existed under endoscope. Seventeen patients performed decompression with Teflon cotton under microscope needed modification when they were checked under endoscope. The symptoms of 102 patients (86.44%) disappeared immediately after the operation; 11 (9.32%) disappeared gradually; 3 (2.54%) had partial remission and 2 (1.70%) had no significantly remission. No serious complications, including cerebrospinal leakage, paralysis and death, were noted. Conclusion Endoscope-assisted microvascular decompression, by improving the observation of the anatomic neurovascular relation, decreasing the damage to the brain stem, nerves and important vessels, can improve the surgical treatment, and reduce the recurrence rate and postoperative complications.
