Delayed hemorrhage after microvascular decompression in a hemifacial spasm patient associated with neurosyphilis
- Author:
Ji-Qing QIU
1
;
Yu CUI
;
Li-Chao SUN
;
Bin QI
;
Zhan-Peng ZHU
;
JQ QIU
;
Y CUI
Author Information
1. Departments of Neurosurgery, The First Hospital of Jilin University, Changchun, Jilin, China
- Publication Type:Case report
- Keywords:
Hemifacial spasm;
microvascular decompression;
neurosyphilis;
delayed hemorrhage
- From:Neurology Asia
2017;22(4):357-362
- CountryMalaysia
- Language:English
-
Abstract:
Microvascular decompression is an effective treatment for hemifacial spasm. Hemorrhage is oneof the complications of microvascular decompression. However, delayed hemorrhage is very rare.Here, we report a case of ipsilateral cerebellar hemorrhage at day seven following microvasculardecompression. A 45-year-old woman presented with left HFS for the previous two years. Diagnostictesting demonstrated the presence of neurosyphilis. Brain magnetic resonance image was unremarkableon presentation. She received microvascular decompression and her hemifacial spasm completelyresolved after surgery. At day seven post-operatively, the patient presented with a sudden onsetheadache. Emergency computed tomography scan showed a cerebellar hemorrhage. A suboccipitalcraniotomy was performed and a cerebellar hematoma was evacuated. The delayed hemorrhage wasattributed to possible microaneurysm from syphilis.
