Microvascular decompression for hemifacial spasm induced by vertebral artery dissecting aneurysm:one case report
10.3785/j.issn.1008-9292.2016.09.13
- VernacularTitle:采用微血管减压治疗椎动脉夹层动脉瘤致面肌痉挛一例
- Author:
Changjiang OU
1
;
Shenghu WANG
;
Yili CHEN
;
Jun MO
;
Xuequn ZHAO
Author Information
1. 浙江大学医学院附属第四医院神经外科
- Keywords:
Aneurysm,dissecting/surgery;
Magnetic resonance imaging;
Angiography,digital subtraction;
Aneurysm,dissecting/diagnosis;
Neurosurgical procedures/methods;
Vertebral artery;
Hemifacial spasm;
Case reports
- From:
Journal of Zhejiang University. Medical sciences
2016;45(5):535-538
- CountryChina
- Language:Chinese
-
Abstract:
A 61-year-old female presented with 4 years history of left-sided hemifacial spasm .Head MRI and angiography indicated left vertebral artery dissecting aneurysm which compressed ipsilateral cranial nerves Ⅶ and Ⅷ. Microvascular decompression was performed .The dissecting aneurysm was pushed apart and the distal part of the parent artery was adhered to the dura on the petrosum .The compressed nerves were totally decompressed .The symptom of facial spasm was completely resolved immediately after surgery and did not recur during 6 months of follow up .
