Treatment of 630 patients with hemifacial spasm

VernacularTitle:630例面肌痉挛微血管减压术治疗体会
Author: Qiankun JI ^{1
,

2} ; Lei WU ; Xingen ZHU ; Yanghua FAN ; Hua GUO
Author Information

1. 330006 南昌，南昌大学第二附属医院神经外科
2. 新乡医学院第一附属医院神经外科
Keywords: Hemifacial spasm; Facial nerve microvascular decompression; Small vascular compression; Vertebral-basal artery complex oppression
From: Chinese Journal of Neuromedicine 2016;15(7):739-741
CountryChina
Language:Chinese
Abstract: Objective To analyze the clinical efficacy of hemifacial spasm (HFS) treated with microvascular decompression (MVD). Methods Six hundred and thirty patients with HFS, admitted to our hospital and underwent MVD from January 2008 to March 2014 were enrolled, including 16 patients having reoperation. Their clinical data were respectively analyzed and the clinical efficacies were recorded. Results In these 630 patients with HFS, 579 patients (91.9%) were cured. In 463 patients with small vascular compression, 428 were cured (92.4%); in 167 patients with vertebral-basal artery complex compression, 151 were cured (90.4%). In 15 without improvement effect and 21 with relapse after surgery, 16 of them underwent second surgery, and HFS symptoms disappeared in all the 16 patients. Conclusions The clinical efficacy of MVD for HFS is positive. For patients with recurrence or without improvement effect after surgery, a secondary surgery is recommended.