Microvascular decompression for hemifacial spasm induced by vertebral artery dissecting aneurysm: one case report.
- Author:
Changjiang OU
1
;
Shenghu WANG
1
;
Yili CHEN
2
;
Jun MO
1
;
Xuequn ZHAO
3
;
Author Information
1. Department of Neurosurgery, the Fourth Affiliated Hospital, Zhejiang University School of Medicine, Yiwu 322000, China.
2. Department of Neurosurgery, the Fourth Affiliated Hospital, Zhejiang University School of Medicine, Yiwu 322000, China. tingiriki@hotmail.com.
3. Department of Neurosurgery, the Fourth Affiliated Hospital, Zhejiang University School of Medicine, Yiwu 322000, China
- Publication Type:Case Reports
- MeSH:
Cerebral Angiography;
Facial Nerve;
pathology;
Female;
Hemifacial Spasm;
surgery;
Humans;
Magnetic Resonance Imaging;
Microvascular Decompression Surgery;
Middle Aged;
Nerve Compression Syndromes;
diagnosis;
etiology;
surgery;
Vertebral Artery Dissection;
diagnostic imaging;
surgery;
Vestibulocochlear Nerve;
pathology
- From:
Journal of Zhejiang University. Medical sciences
2016;45(5):536-539
- 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.
