Management of symptomatic hemifacial spasm or trigeminal neuralgia

Neurosurgical Review
Ming-Xing LiuShi-Ting Li

Abstract

Hemifacial spasm (HFS) or trigeminal neuralgia (TN) is a kind of hyperactivity disorder of cranial nerves caused by vascular compression. However, sometimes, the disease may arise from nerve damage produced by tumors, which was called as symptomatic HFS/TN. Until now, little is known about the exact mechanism and the necessity of microvascular decompression (MVD) regarding the tumor-induced HFS/TN, which is necessary to be retrospectively analyzed in a considerable sample. Among the 4021 patients who underwent MVD in our department between 2006 and 2014, 44 were finally diagnosed as symptomatic HFS or TN. These patients were focused in this study and their clinical features as well as intraoperative findings and postoperative outcomes were retrospectively investigated. Data analysis exhibited the symptomatic HFS/TN cases accounted for 1.1 % in the study, which were caused by epidermoid in 18 (40.9 %) and meningioma in 15 (34.1 %) followed by neuroma in 7 (15.9 %) as well as aneurysm in 2 (4.5 %) and arteriovenous malformation in 2 (4.5 %). Compared to those with idiopathic HFS/TN, younger females were more susceptible (p < 0.05). After resection of the neoplasm, the offending vessel was identified in 26 (59.1 %), which were fol...Continue Reading

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Citations

Mar 23, 2019·Zhurnal voprosy neĭrokhirurgii imeni N. N. Burdenko·G Yu GrigoryanYu A Grigoryan
Nov 16, 2018·British Journal of Neurosurgery·Lei XiaNing-Ning Dou
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Jul 27, 2021·Journal of Neurological Surgery. Part B, Skull Base·Ming-Xing LiuJuanhong Shi
Jun 1, 2018·World Neurosurgery·Jiang LiuYue Yuan

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