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Acta Neurologica Belgica

Erschienen in:

08.04.2019 | Original article

Clinical analysis of repeat microvascular decompression for recurrent hemifacial spasm

verfasst von: Wei Shu, Hongwei Zhu, Yongjie Li, Ruicun Liu

Erschienen in: Acta Neurologica Belgica | Ausgabe 3/2019

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Abstract

The aim of this study was to investigate the effects of repeat microvascular decompression (MVD) for recurrent hemifacial spasm (HFS). The clinical features, surgical findings, outcomes, and complications of 13 patients who underwent MVD with a history of prior MVD in Xuanwu Hospital between January 2010 and May 2017 were analysed retrospectively. All patients were successfully treated for their HFS but experienced recurrent symptoms and received repeat MVD. Teflon felt factors (9/13, 69.2%) and vascular changes (4/13, 30.8%) were the main reasons for recurrent HFS. With a mean follow-up of 34.6 months after surgery (ranging from 12 to 92 months), 11 (84.6%) patients achieved complete or major spasm alleviation and two patients (15.4%) achieved fair outcomes. Surgical complications included transited mild to moderate facial weakness in two patients (15.4%). None of the patients had serious surgical morbidities. Repeat MVD is an effective and safe treatment for recurrent HFS.

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Titel: Clinical analysis of repeat microvascular decompression for recurrent hemifacial spasm
verfasst von: Wei Shu
Hongwei Zhu
Yongjie Li
Ruicun Liu
Publikationsdatum: 08.04.2019
Verlag: Springer International Publishing
Erschienen in: Acta Neurologica Belgica / Ausgabe 3/2019
Print ISSN: 0300-9009
Elektronische ISSN: 2240-2993
DOI: https://doi.org/10.1007/s13760-019-01103-9

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