2,048 results match your criteria Hemifacial Spasm


Long-term Outcomes of Microvascular Decompression in the Treatment of Hemifacial Spasm Based on Different Offending Vessels.

J Neurol Surg A Cent Eur Neurosurg 2019 Apr 24. Epub 2019 Apr 24.

Department of Neurosurgery, Shanghai Jiaotong University School of Medicine, Xinhua Hospital, Shanghai, China.

Objective:  To evaluate clinical features, outcomes, and complications in patients with hemifacial spasm (HFS) after microvascular decompression (MVD) of different offending vessels.

Methods:  Clinical data were collected from 362 patients with HFS treated with MVD between January 2013 and January 2014. Patients were divided into five groups based on the offending vessel: A (anterior inferior cerebellar artery [AICA] compression), B (posterior inferior cerebellar artery [PICA] compression), C (AICA plus PICA compression), D (vertebral artery [VA] compression), and E (VA plus small vessel compression). Read More

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http://dx.doi.org/10.1055/s-0039-1685199DOI Listing

[Botulinumtoxin in Ophthalmology].

Authors:
Bettina Wabbels

Klin Monbl Augenheilkd 2019 Apr 18. Epub 2019 Apr 18.

Botulinum toxin has been first applied in ophthalmology (as treatment for strabismus) and is nowadays widely used in many clinical areas. Currently the main application in ophthalmology is the treatment of essential blepharospasm and hemifacial spasm. Other important indications for botulinum toxin in ophthalmology are eyelid retraction in Graves' disease and the induction of protective ptosis in lagophthalmos or corneal diseases. Read More

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http://dx.doi.org/10.1055/a-0885-2107DOI Listing

Risk factors for postoperative delirium in patients undergoing microvascular decompression.

PLoS One 2019 18;14(4):e0215374. Epub 2019 Apr 18.

Department of Pain, Lanzhou University Second Hospital, Lanzhou, Gansu Province, People's Republic of China.

This study is to identify the risk factors for postoperative delirium (PODE) in patients undergoing microvascular decompression (MVD) for the treatment of primary cranial nerve disorders. We retrospectively reviewed the data of 912 patients (354 men, 558 women) with primary cranial nerve disorders (trigeminal neuralgia, 602 patients; hemifacial spasm, 296 patients; glossopharyngeal neuralgia, 14 patients) who underwent MVD in the Neurosurgery Department of Lanzhou University Second Hospital between July 2007 and June 2018. Potential risk factors for PODE were identified using univariate and multivariate stepwise logistic regression analysis. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0215374PLOS
April 2019
4 Reads

[Clinical application of endoscope combined with microscope for the microvascular decompression in hemifacial spasm].

Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2019 Apr;54(4):267-271

Department of Otorhinolaryngology Head and Neck Surgery, Ninth People's Hospital, Shanghai Jiaotong University School of Medicine, Shanghai Jiaotong University Ear Institute, Shanghai Key Laboratory of Translational Medicine on Ear and Nose Diseases, Shanghai 200011, China.

To evaluate the effectiveness and safety of the endoscope combined with microscope for the microvascular decompression in hemifacial spasm. A total of 26 patients underwent endoscope combined with microscopic facial nerve microvascular decompression through retrolabyrinthine approach from January 2013 to December 2016 were retrospectively reviewed in Ear Institute, Shanghai Jiaotong University School of Medicine. Among them, 9 were male and 17 were female, with a mean age of (51. Read More

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http://dx.doi.org/10.3760/cma.j.issn.1673-0860.2019.04.006DOI Listing
April 2019
1 Read

Prognostic value of lateral spread response during microvascular decompression for hemifacial spasm.

J Int Med Res 2019 Apr 14:300060519839526. Epub 2019 Apr 14.

4 Department of Emergency Medicine, The First Hospital of Jilin University, Changchun, Jilin, China.

Objective: This study aimed to investigate the prognostic value of the lateral spread response (LSR) for predicting surgical outcomes following microvascular decompression (MVD) in patients with hemifacial spasm.

Methods: Seventy-three patients with hemifacial spasm underwent MVD with intraoperative LSR monitoring. Surgical outcomes were evaluated 1 week and 1 year after MVD and correlations between LSR characteristics and surgical outcomes were analyzed. Read More

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http://dx.doi.org/10.1177/0300060519839526DOI Listing

Transposition of the Culprit Artery Passing between the Facial Nerve and Auditory Nerve in Microvascular Decompression Surgery for Hemifacial Spasm.

World Neurosurg 2019 Apr 8. Epub 2019 Apr 8.

Department of Neurosurgery, Mitsui Memorial Hospital, Tokyo, Japan.

Objective: Decompression of the culprit artery causing hemifacial spasm (HFS) which passes between the facial nerve (CN VII) and the auditory nerve (CN VIII) can be difficult, especially if the artery compresses CN VII right after passing between the two nerves. Perforators or small arteries branching from near the compression site to adjacent structures can hinder the decompression process because such vessels can anchor the passing condition. The effect of such perforators or small arteries on the decompression process in such cases was investigated. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18788750193101
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http://dx.doi.org/10.1016/j.wneu.2019.04.020DOI Listing
April 2019
4 Reads

[Therapy of Hemifacial Spasm with Botulinum Toxin].

Laryngorhinootologie 2019 Apr 9;98(4):247-251. Epub 2019 Apr 9.

Asklepios Klinik Barmbek, Abt. für Neurologie, Hamburg.

Hemifacial spasm (HFS) is a frequent disorder characterized by involuntary contractions of those muscles innervated by the facialis nerve on one side of the face. The symptoms can appear as tonic or clonic, intermittent or permanent. Diagnosis is based purely on clinical observation. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/a-0834-4188
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http://dx.doi.org/10.1055/a-0834-4188DOI Listing
April 2019
2 Reads

Clinical analysis of repeat microvascular decompression for recurrent hemifacial spasm.

Acta Neurol Belg 2019 Apr 8. Epub 2019 Apr 8.

Beijing Institute of Function neurosurgery, Xuanwu Hospital, Capital Medical University, 45 Changchun street, Beijing, 100053, China.

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. Read More

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http://dx.doi.org/10.1007/s13760-019-01103-9DOI Listing

Blink synkinesis monitoring during microvascular decompression for hemifacial spasm.

J Chin Med Assoc 2019 Mar 29. Epub 2019 Mar 29.

Department of Physical Medicine and Rehabilitation, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.

Background: In the present study, we investigated whether blink synkinesis monitoring during microvascular decompression (MVD) is effective for predicting long-term outcomes in patients with hemifacial spasm (HFS).

Methods: This retrospective study included 69 patients who had undergone MVD for HFS at a tertiary hospital. All patients underwent intra-operative monitoring of blink synkinesis, lateral spread responses (LSRs), and facial nerve motor evoked potentials (FNMEPs). Read More

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http://dx.doi.org/10.1097/JCMA.0000000000000106DOI Listing
March 2019
3 Reads

Evaluation of Corneal Morphology in Patients With Hemifacial Spasm.

Eye Contact Lens 2019 Mar 29. Epub 2019 Mar 29.

Ophtalmology Department (D.M.U., Z.D., A.Ç.) and Neurology Department (E.K.U.), Kayseri Training and Research Hospital, Kayseri, Turkey.

Purpose: To determine whether the corneal topographic parameter values, individual corneal layer thicknesses, and its endothelial layer morphology are different in patients with hemifacial spasm (HFS) than in the control contralateral eye.

Methods: This study was designed as a prospective study. Among patients who applied to our hospital within the past 3-year period, those with HFS in one eye (study eyes) and a completely normal contralateral eye (control eyes) were included in this study. Read More

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http://dx.doi.org/10.1097/ICL.0000000000000597DOI Listing
March 2019
2 Reads

Endoscope-Assisted Microneurosurgery for Neurovascular Compression Syndromes: Basic Principles, Methodology, and Technical Notes.

Asian J Neurosurg 2019 Jan-Mar;14(1):193-200

Department of Neurosurgery, San Salvatore City Hospital, L'Aquila, Italy.

Background: Microscopic microvascular decompression (MVD) has a low but not negligible failure rate due to some missed conflicts, especially in case of multiple offending vessels. The reported study is aimed to assess the principles, methodology, technical notes, and effectiveness of the endoscope-assisted (EA) MVD for neurovascular compression syndromes (NVCS) in the posterior fossa.

Materials And Methods: A series of 43 patients suffering from an NVCS and undergone to an EA MVD were retrospectively reviewed. Read More

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http://dx.doi.org/10.4103/ajns.AJNS_279_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6417326PMC
April 2019
3 Reads

Microvascular Decompression in Patients Aged 30 Years or Younger.

Asian J Neurosurg 2019 Jan-Mar;14(1):111-117

Department of Neurosurgery, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima, Japan.

Objective: The aim of this study was to identify the etiology of hemifacial spasm (HFS) and trigeminal neuralgia (TN) in patients aged 30 years or younger and to examine the efficacy of microvascular decompression (MVD).

Patients And Methods: Between 1996 and 2012, 228 HFS and 190 TN patients underwent MVD at Atsuchi Neurosurgical Hospital. Of these, 7 patients were 30 years of age or younger at the time of treatment (HFS: n = 6, TN: n = 1). Read More

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http://dx.doi.org/10.4103/ajns.AJNS_266_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6417338PMC

A Rare Potential Compression Can Be Avoided by Lateral Spread Response Recordings During Microvascular Decompression for Hemifacial Spasm.

J Craniofac Surg 2019 Mar 9. Epub 2019 Mar 9.

Department of Neurosurgery, Tangdu Hospital, Fourth Military Medical University, Xi'an, Shaanxi, China.

The authors report a 34-year-old female with hemifacial spasm who was identified as a candidate for microvascular decompression. Lateral spread response (LSR) was not recorded at first because of anatomical shift of neurovascular relationship after drainage of cerebrospinal fluid, but they reappeared only after a piece of shredded gelatin sponge was placed near the posteroinferior cerebellar artery to expand surgical field. As the authors removed the gelatin sponge, the LSRs disappeared instantly. Read More

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http://dx.doi.org/10.1097/SCS.0000000000005400DOI Listing

A charcot-marie-tooth type 1B kindred associated with hemifacial spasm and trigeminal neuralgia.

Muscle Nerve 2019 Mar 28. Epub 2019 Mar 28.

Dartmouth Hitchcock Medical Center, Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire, USA.

Introduction: Charcot-Marie-Tooth (CMT) phenotypes can be distinguished by electrophysiology and genetic analysis but few can be identified by their clinical characteristics. Distinctive phenotypes are useful in identifying affected individuals and providing additional clues about the mechanism of the neuropathy. Cranial neuropathies are uncommon features of CMT, and few reports of familial hemifacial spasm (HFS) and trigeminal neuralgia (TN) have been published. Read More

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http://dx.doi.org/10.1002/mus.26478DOI Listing
March 2019
5 Reads

Hemifacial spasm in sleep - A polysomnographic study.

J Clin Neurosci 2019 Mar 19. Epub 2019 Mar 19.

Department of Neurology, Ankara University, School of Medicine, Ankara, Turkey; Department of Interdisciplinary Neuroscience, Ankara University, Institute of Health Sciences, Ankara, Turkey.

Background: Polysomnography (PSG) studies in patients with facial dyskinesias are few. With regard to hemifacial spasm (HFS), one study reported the continuity of spasms during sleep which was not confirmed elsewhere using a PSG. Therefore, we sought to investigate abnormal facial movements during sleep in patients with HFS. Read More

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http://dx.doi.org/10.1016/j.jocn.2019.03.013DOI Listing

Movement disorders in early MS and related diseases: A prospective observational study.

Neurol Clin Pract 2019 Feb;9(1):24-31

Multiple Sclerosis and Neuroimmunology Program (HA), University Hospitals of Cleveland; Case Western Reserve University School of Medicine (HA, KK), Cleveland; and Center for Neurological Restoration (XXY, HHF) and The Mellen Center for Multiple Sclerosis Treatment and Research (JAC), Cleveland Clinic, OH.

Background: Little is known about the true prevalence and clinical characteristics of movement disorders in early multiple sclerosis (MS) and related demyelinating diseases. We conducted a prospective study to fill this knowledge gap.

Methods: A consecutive patient sample was recruited from the MS clinic within a 1-year-period. Read More

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http://dx.doi.org/10.1212/CPJ.0000000000000560DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6382384PMC
February 2019
2 Reads

Nerve Compression Syndromes in the Posterior Cranial Fossa.

Dtsch Arztebl Int 2019 Jan;116(4):54-60

Department of Neurosurgery, University Medicine Greifswald.

Background: Nerve compression syndromes in the posterior cranial fossa can severely impair patients' quality of life. There is often uncertainty about the best treatment. In this article, we provide an overview of these conditions and the corresponding treatment strategies. Read More

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http://dx.doi.org/10.3238/arztebl.2019.0054DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6415620PMC
January 2019
1 Read

Writing, reading, and speaking in blepharospasm.

J Neurol 2019 May 19;266(5):1136-1140. Epub 2019 Feb 19.

IRCCS Neuromed, Via Atinense 18, 86077, Pozzilli, IS, Italy.

The aim of the study was to evaluate the effects of writing, reading, and speaking on orbiculari oculi (OO) muscle spasms and on the blink rate in patients with blepharospasm (BSP). Patients with hemifacial spasm (HFS) and healthy subjects (HS) acted as control subjects. Thirty patients with BSP, 20 patients with primary HFS and 20 age-matched healthy subjects were videotaped according to a standardized procedure: at rest with eyes open; while writing a standard sentence on paper; while writing a standard sentence on a blackboard keeping the head straight; during a conversation based on a simple topic (speaking task); and while reading a standard text aloud. Read More

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http://dx.doi.org/10.1007/s00415-019-09243-xDOI Listing
May 2019
1 Read

A Meta-Analysis of Endoscopic Microvascular Decompression versus Microscopic Microvascular Decompression for the Treatment for Cranial Nerve Syndrome Caused by Vascular Compression.

World Neurosurg 2019 Feb 15. Epub 2019 Feb 15.

From the Departments of Neurosurgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, People's Republic of China. Electronic address:

Objective: The aim of this study was to compare the efficacy and safety of endoscopic microvascular decompression (E-MVD) and microscopic microvascular decompression (M-MVD) for the treatment for cranial nerve syndrome caused by vascular compression, including primary trigeminal neuralgia, hemifacial spasm, and glossopharyngeal neuralgia.

Methods: A systematic search of the online databases, including PubMed, Embase, Web of Science, Cochrane Central Register of Controlled Trials, China Biology Medicine disc, and China National Knowledge Infrastructure, was performed from January 1966 to March 2018. The language of the included literature was not limited. Read More

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http://dx.doi.org/10.1016/j.wneu.2019.01.220DOI Listing
February 2019

The Cornerstone Technique of Microvascular Decompression for Hemifacial Spasm with Vertebral Artery Offender.

World Neurosurg 2019 Feb 8. Epub 2019 Feb 8.

Department of Neurosurgery, Chonnam National University Research Institute of Medical Sciences, Chonnam National University Hwasun Hospital and Medical School, Gwangju, South Korea.

Background: Microvascular decompression surgery is the most effective treatment for hemifacial spasm (HFS). The vertebral artery (VA) is a larger and more elastic vessel, which makes surgical management more difficult. We introduce a surgical technique of proximal Teflon transposition with interposition (PTTI) in the vertebromedullary space for HFS with a VA offender. Read More

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http://dx.doi.org/10.1016/j.wneu.2019.01.199DOI Listing
February 2019
3 Reads

Algorithm to Predict the Outcome of Microvascular Decompression for Hemifacial Spasm: A Data-Mining Analysis Using a Decision Tree.

World Neurosurg 2019 Feb 7. Epub 2019 Feb 7.

Department of Neurosurgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. Electronic address:

Objective: Although microvascular decompression (MVD) is the primary treatment for hemifacial spasm (HFS), the postoperative course is variable. This study aimed to develop a prediction model of the outcome of MVD in patients with HFS by investigating influential factors.

Methods: Electronic medical records of 1624 patients with HFS who underwent MVD from July 2004 to January 2015 were reviewed. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18788750193028
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http://dx.doi.org/10.1016/j.wneu.2019.01.172DOI Listing
February 2019
5 Reads

Revision Microvascular Decompression for Trigeminal Neuralgia and Hemifacial Spasm: Factors Associated with Surgical Failure.

J Neurol Surg B Skull Base 2019 Feb 29;80(1):31-39. Epub 2018 Jun 29.

Department of Neurological Surgery, Keck School of Medicine, University of Southern California, Los Angeles, California, United Sates.

 To investigate risk factors for symptom recurrence in patients requiring a revision microvascular decompression (MVD) for trigeminal neuralgia (TN) or hemifacial spasm (HFS).  Retrospective review of a prospectively maintained database.  Seventeen consecutive patients undergoing revision MVD at our institution between January 1993 and September 2017. Read More

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http://dx.doi.org/10.1055/s-0038-1661348DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6365246PMC
February 2019
1 Read

Pseudoaneurysm presenting around polytetrafluoroethylene fiber following microvascular decompression: A case report and literature review.

J Clin Neurosci 2019 May 4;63:231-234. Epub 2019 Feb 4.

Department of Neurosurgery, Sapporo Medical University, Japan.

We report the first case of pseudoaneurysm associated with polytetrafluoroethylene fiber used in microvascular decompression (MVD). A 62-year-old female who had undergone MVD for hemifacial spasm 30 years ago presented with a 4-month history of progressive facial palsy. Computed tomography angiography revealed a large thrombosed aneurysm originating from the right posterior inferior cerebellar artery and having a mass effect upon the pons. Read More

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http://dx.doi.org/10.1016/j.jocn.2019.01.041DOI Listing
May 2019
1 Read

A history of the Jannetta procedure.

J Neurosurg 2019 Feb 1:1-8. Epub 2019 Feb 1.

2Department of Neurological Surgery, University of Texas Southwestern Medical Center, Dallas, Texas.

Peter Jannetta was a neurosurgery resident when he proposed the neurovascular compression theory. He built upon the astute observations of Dandy, Gardner, and others who, in the era before the operating microscope, had successfully ventured into the posterior fossa. In 1965, Jannetta performed cranial nerve microdissections for dental students and identified the trigeminal portio intermedia. Read More

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http://dx.doi.org/10.3171/2018.10.JNS181983DOI Listing
February 2019
1 Read

Vascular Decompression Technique for Vertebrobasilar Dolichoectatic Pathology: Reposition or Interposition?

World Neurosurg 2019 02;122:709

Department of Neurosurgery, SanBo Brain Hospital, Capital Medical University, Beijing, China.

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http://dx.doi.org/10.1016/j.wneu.2018.10.014DOI Listing
February 2019

Hemifacial Spasm Caused by Vascular Compression in the Cisternal Portion of the Facial Nerve: Report of Two Cases with Review of the Literature.

Case Rep Neurol Med 2019 1;2019:8526157. Epub 2019 Jan 1.

Department of Neurosurgery, Yeouido St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.

Although primary hemifacial spasm (HFS) is mostly related to a vascular compression of the facial nerve at its root exit zone (REZ), its occurrence in association with distal, cisternal portion has been repeatedly reported during the last two decades. We report two patients with typical HFS caused by distal neurovascular compression, in which the spasm was successfully treated with microvascular decompression (MVD). Vascular compression of distal, cisternal portion of the facial nerve was identified preoperatively in the magnetic resonance imaging (MRI). Read More

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http://dx.doi.org/10.1155/2019/8526157DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6333014PMC
January 2019

Geographic Disparities in the Surgical Management of Hemifacial Spasm in Canada.

Can J Neurol Sci 2019 01;46(1):83-86

1Section of Neurosurgery,University of Manitoba,Winnipeg, Manitoba,Canada(MS, AMK).

Background: We aimed to interrogate the Canadian Institute for Health Information (CIHI) database in order to determine the geographic distribution and outcomes of microvascular decompression (MVD) for the treatment of hemifacial spasm (HFS).

Methods: The CIHI database was searched from 2004 to 2017 for relevant diagnostic and procedure codes. A new database was populated with the following categories: year, institution, province, number of interventions per year, and mean length of stay. Read More

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http://dx.doi.org/10.1017/cjn.2018.350DOI Listing
January 2019

Preliminary Study on the Relationship Between Inflammation and Hemifacial Spasm.

World Neurosurg 2019 Jan 23. Epub 2019 Jan 23.

Department of Neurosurgery, XinHua Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai, China. Electronic address:

Background: Complete pathogenesis of hemifacial spasm (HFS) is unknown. In some patients with HFS, thickened, opaque, and sticky arachnoid membranes have been found during microvascular decompression procedures. This phenomenon indicates a possible relationship between inflammation and HFS. Read More

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http://dx.doi.org/10.1016/j.wneu.2019.01.044DOI Listing
January 2019
1 Read

Clocking tinnitus: An audiology symptom of migraine.

Clin Neurol Neurosurg 2019 Feb 2;177:73-76. Epub 2019 Jan 2.

Department of Clinical Forensic Medicine, Kaohsiung Medical University Hospital, and College of Medicine, Kaohsiung Medical University, Kaohsiung City, Taiwan. Electronic address:

Objectives: In contrast to previous concept that tinnitus is confined to an otologic disorder, current evidence supports it as a phantom sensory phenomenon of vestibulocochlear damage with cortical reorganization. It is a common problem worldwide, but the treatment response is always unsatisfactory.

Patients And Methods: In this study, we report 10 patients who described their staccato tinnitus as simulating the ticking sound of a pendulum or quartz clock (or termed clocking tinnitus). Read More

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http://dx.doi.org/10.1016/j.clineuro.2019.01.001DOI Listing
February 2019
1 Read

A correlative analysis between inflammatory cytokines and trigeminal neuralgia or hemifacial spasm.

Neurol Res 2019 Apr 5;41(4):335-340. Epub 2019 Jan 5.

a Department of Neurosurgery , XinHua Hospital (The Cranial Nerve Disease Center of Shanghai), Shanghai JiaoTong University School of Medicine , Shanghai , China.

Background: It is necessary to understand the mechanism of trigeminal neuralgia (TN) and hemifacial spasm (HFS) in order to seek for an effective noninvasive remedy. As previous studies implied that inflammatory cytokines induced by demyelination following the nerve injury may be the initiated factor causing neuropathic pain, we attempt to analyze the correlation between cytokines and these hyperactive cranial nerve disorders.

Method: The consecutive patients whose diagnosis were confirmed by microvascular decompression surgery as primary TN or HFS caused by vascular compression and healthy volunteers between March and May 2018 in XinHua Hospital Shanghai JiaoTong University School of Medicine were recruited. Read More

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https://www.tandfonline.com/doi/full/10.1080/01616412.2018.1
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http://dx.doi.org/10.1080/01616412.2018.1564188DOI Listing
April 2019
2 Reads

Anatomic Variation and Hemodynamic Evolution of Vertebrobasilar Arterial System May Contribute to the Development of Vascular Compression in Hemifacial Spasm.

World Neurosurg 2018 Dec 26. Epub 2018 Dec 26.

Department of Neurosurgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

Background: Hemifacial spasm (HFS) is caused by vascular compression of the facial nerve. The definitive mechanism of offending vessel formation remains unclear. The aim of this study was to explore whether the anatomic and hemodynamic characteristics of the vertebrobasilar artery play a role in problematic vessel formation in HFS. Read More

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http://dx.doi.org/10.1016/j.wneu.2018.12.074DOI Listing
December 2018
15 Reads

Botulinum toxin relieves anxiety and depression in patients with hemifacial spasm and blepharospasm.

Neuropsychiatr Dis Treat 2019 19;15:33-36. Epub 2018 Dec 19.

Department of Neurology, Renmin Hospital of Wuhan University, Wuhan 430060, China,

Objective: To explore the efficacy of botulinum toxin type A (BTX-A) therapy in relieving anxiety and depression in patients with hemifacial spasm (HFS) and benign essential blepharospasm (BEB).

Patients And Method: Ninety idiopathic HFS patients and 90 BEB patients were enrolled. The anxiety and depression status were evaluated by self-rating anxiety scale (SAS) and self-rating depression scale (SDS), respectively, before and after the injection of BTX-A. Read More

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http://dx.doi.org/10.2147/NDT.S181820DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6304258PMC
December 2018

Facial motor evoked potential with paired transcranial magnetic stimulation: prognostic value following microvascular decompression for hemifacial spasm.

J Neurosurg 2018 Dec 21:1-8. Epub 2018 Dec 21.

Departments of1Neurosurgery and.

OBJECTIVEMicrovascular decompression (MVD) is widely considered the treatment of choice for hemifacial spasm (HFS), but not all patients immediately benefit from it. Numerous electrophysiological tests have been employed to monitor the integrity of the facial nerve prior to, during, and after MVD treatment. The authors sought to verify if facial motor evoked potential (FMEP) with paired transcranial magnetic stimulation (pTMS) can be utilized as a tool to predict prognosis following MVD for HFS. Read More

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http://dx.doi.org/10.3171/2018.8.JNS18708DOI Listing
December 2018
1 Read

Cervical Myelopathy Due to Direct Cord Compression by Posterior Inferior Cerebellar Artery Associated with Aberrant Vertebral Artery.

World Neurosurg 2019 Mar 20;123:248-250. Epub 2018 Dec 20.

Department of Neurosurgery, Koyukai Medical Cooperation Nishinomiya Kyoritsu Neurosurgical Hospital, Nishinomiya, Hyogo, Japan.

Background: The effectiveness of surgical microvascular decompression (MVD) of the vertebral artery (VA) for treating conditions such as trigeminal neuralgia or hemifacial spasm is well known. However, the use of MVD for a case in which the posterior inferior cerebellar artery (PICA) is directly compressing the high cervical cord has not been reported.

Case Description: A 48-year-old male was diagnosed with a rare case of myelopathy due to the PICA directly compressing the high cervical cord. Read More

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http://dx.doi.org/10.1016/j.wneu.2018.12.044DOI Listing

Surgical Treatment of Secondary Hemifacial Spasm: Long-Term Follow-Up.

World Neurosurg 2018 Dec 19. Epub 2018 Dec 19.

Department of Neurosurgery, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China; Center for Diagnosis and Treatment of Cranial Nerve Diseases, Shanghai Jiao Tong University, Shanghai, China. Electronic address:

Background: Hemifacial spasm (HFS) is generally caused by the root exit zone of the facial nerve compressed by an overlying arterial loop. HFS can also be caused by various types of tumor, aneurysm, or arteriovenous malformation. We retrospectively analyzed patients to evaluate possible differences in the demographic and clinical features between primary and secondary HFS. Read More

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http://dx.doi.org/10.1016/j.wneu.2018.12.035DOI Listing
December 2018

Delayed hearing loss after microvascular decompression for hemifacial spasm.

Acta Neurochir (Wien) 2019 Mar 19;161(3):503-508. Epub 2018 Dec 19.

Department of Neurosurgery, Samsung Medical Center, Sungkyunkwan University, School of Medicine, 81 Irwon-ro, Gangnam-gu, Seoul, 06351, South Korea.

Background: This study aimed to analyze cases of delayed hearing loss after microvascular decompression (MVD) for hemifacial spasm and identify the characteristic features of these patients.

Methods: We retrospectively reviewed the medical records of 3462 patients who underwent MVD for hemifacial spasm between January 1998 and August 2017.

Results: Among these, there were 5 cases in which hearing was normal immediately postoperatively but delayed hearing loss occurred. Read More

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http://dx.doi.org/10.1007/s00701-018-3774-7DOI Listing
March 2019
1 Read

Cavernous angioma of the cerebellopontine angle presenting as hemifacial spasm.

Neurol India 2018 Nov-Dec;66(6):1826-1828

Department of Critical Care Medicine, Shengli Oilfield Central Hospital of Binzhou Medical University, Dongying, Shandong, China.

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http://dx.doi.org/10.4103/0028-3886.246250DOI Listing
December 2018
2 Reads

Ring graft technique for microvascular decompression.

Neurol India 2018 Nov-Dec;66(6):1687-1691

Department of Neurosurgery, GIPMER and Maulana Azad Medical College, New Delhi, India.

Introduction: Various nerve compression syndromes, such as trigeminal neuralgia (TN), glossopharyngeal neuralgia (GN), and hemifacial spasm (HFS), are caused by compression of the concerned nerve by the adjacent vessel. Patients who do not respond to medical management are usually treated by "microvascular decompression (MVD) of the nerve." Teflon patch graft is the most commonly used material for MVD. Read More

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http://dx.doi.org/10.4103/0028-3886.246282DOI Listing
December 2018
6 Reads
1.084 Impact Factor

Synchronous bilateral hemifacial spasm: case-report and literature review.

Acta Neurochir (Wien) 2019 Mar 4;161(3):509-515. Epub 2018 Dec 4.

Department of Neurosurgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Jiefang Avenue 1277, Wuhan, 430022, Hubei, China.

Bilateral hemifacial spasm (biHFS) is an infrequent cranial nerve disorder that causes patients to suffer from severe psychological stress, and there are no reported cases of synchronous biHFS. In this study, a 46-year-old right-handed woman was diagnosed with a synchronous biHFS. After one unilateral microvascular decompression (MVD) surgery, the left facial twitching movements relieved immediately, and the right side twitching movements self-relieved the next day. Read More

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http://dx.doi.org/10.1007/s00701-018-3725-3DOI Listing
March 2019
29 Reads

Fully endoscopic microvascular decompression for hemifacial spasm.

J Neurosurg 2018 Oct 1:1-7. Epub 2018 Oct 1.

1Department of Neurosurgery, University of Pennsylvania, Philadelphia, Pennsylvania; and.

OBJECTIVEHemifacial spasm (HFS) is characterized by involuntary tonic and/or clonic contractions of facial nerve muscles. Fully endoscopic microvascular decompression (E-MVD) for HFS has not been widely adopted. This paper aims to illustrate the safety and efficacy of the fully endoscopic technique for HFS treatment. Read More

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http://dx.doi.org/10.3171/2018.4.JNS172631DOI Listing
October 2018
13 Reads

The Rhomboid Lip: Anatomy, Pathology, and Clinical Consideration in Neurosurgery.

World Neurosurg 2019 Mar 26;123:e252-e258. Epub 2018 Nov 26.

Department of Neurosurgery, Juntendo University, Tokyo, Japan.

Objective: To describe microsurgical anatomy of the rhomboid lip (RL) and to consider its role by presenting histology and clinical cases.

Methods: We examined 10 (20 sides) formalin-fixed adult human cadaveric heads injected with colored silicone. A total of 20 RLs were examined posteriorly. Read More

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http://dx.doi.org/10.1016/j.wneu.2018.11.148DOI Listing

Surgical management of coexisting trigeminal neuralgia and hemifacial spasm.

Surg Neurol Int 2018 23;9:214. Epub 2018 Oct 23.

Department of Neurosurgery, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.

Background: Coexisting hemifacial spasm (HFS) and trigeminal neuralgia (TN) without any mass lesion in the posterior fossa is a rare condition. Hence, the surgical strategy of coexisting HFS and TN has rarely been discussed.

Case Description: We present a rare case of coexisting HFS and TN without any mass lesion in posterior fossa having microvascular confliction of trigeminal nerve with superior cerebellar artery (SCA) and facial nerve with anterior inferior cerebellar artery (AICA). Read More

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http://surgicalneurologyint.com/surgicalint-articles/surgica
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http://dx.doi.org/10.4103/sni.sni_188_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6213807PMC
October 2018
1 Read

Hemifacial spasm secondary to vascular loop compression: a rare case report.

Oral Radiol 2018 Sep 20;34(3):273-276. Epub 2017 Jun 20.

Department of Oral Medicine and Radiology, SDM College of Dental Sciences and Hospital, Dharwad, Karnataka, 580009, India.

Hemifacial spasm (HFS) is characterised by brief, persistent, involuntary paroxysmal contractions of the facial muscles innervated by the facial nerve. Broadly its aetiology is portrayed as primary and secondary. Primary HFS is a result of vascular compression of the ipsilateral facial nerve at its root exit zone, and secondary HFS can occur after any injury to the facial nerve from the internal auditory canal to the stylomastoid foramen, which may be a result of a cerebellopontine angle tumour, schwannoma, fusiform aneurysm, or demyelinating lesion such as multiple sclerosis. Read More

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http://dx.doi.org/10.1007/s11282-017-0296-6DOI Listing
September 2018
21 Reads

Nervus Intermedius Section to Mobilize the Anterior Inferior Cerebellar Artery in Microvascular Decompression Surgery for Hemifacial Spasm: A Technical Case Report.

World Neurosurg 2019 Feb 23;122:491-494. Epub 2018 Nov 23.

Department of Neurosurgery, Tazuke Kofukai Medical Research Institute and Kitano Hospital, Osaka, Japan.

Background: The course of the anterior inferior cerebellar artery (AICA) in the cerebellopontine angle may affect the technical options in microvascular decompression surgery for hemifacial spasm. A complex relationship between the AICA and the nervus intermedius has rarely been discussed in patients with hemifacial spasms.

Case Description: A 74-year-old woman presented with left facial spasms for 8 years. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18788750183267
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http://dx.doi.org/10.1016/j.wneu.2018.11.126DOI Listing
February 2019
17 Reads

Endovascular Flow Diversion for Hemifacial Spasm Induced by a Vertebral Artery Aneurysm: First Experience.

Oper Neurosurg (Hagerstown) 2018 Nov 24. Epub 2018 Nov 24.

Department of Neurosurgery, University of California-San Diego, La Jolla, California.

Background And Importance: Flow diversion for the treatment of aneurysm-induced hemifacial spasm (HFS) has not been previously described.

Clinical Presentation: The authors present the case of a 60-yr-old woman who presented with 1 yr of progressive left HFS secondary to a vertebral artery aneurysm compressing the root entry zone of cranial nerve VII. The patient's aneurysm was successfully treated with a flow diverting stent. Read More

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http://dx.doi.org/10.1093/ons/opy359DOI Listing
November 2018

Comparison of serum concentration of Ca, P, Mg, and Fe between hemifacial spasm patients and healthy controls; prospective randomized controlled study.

Niger J Clin Pract 2018 Nov;21(11):1537-1541

Departement of Neurology, Kayseri Training and Research Hospital, Kayseri, Turkey.

Purpose: In this study, we aimed to measure the serum vitamin D level in hemifacial spasmic (HFS) patients and show the role of HFS in the pathogenesis and place in etiology.

Materials And Methods: This study included 43 prospective newly diagnosed HFS patients and 43 healthy volunteers in the neurology clinic. The serum (Ca, P, Mg, Fe) concentration of 4 essential elements was measured with a biochemical device. Read More

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http://dx.doi.org/10.4103/njcp.njcp_103_18DOI Listing
November 2018
1 Read

The association between auditory nerve neurovascular conflict and sudden unilateral sensorineural hearing loss.

Laryngoscope Investig Otolaryngol 2018 Oct 6;3(5):384-387. Epub 2018 Oct 6.

Departments of Otolaryngology Head Neck and Maxillofacial Surgery.

Hypothesis: There may be an association between a neurovascular conflict (NVC) of the auditory nerve and unilateral sudden sensorineural hearing loss (SSNHL).

Background: Compression of cranial nerves by vascular structures can lead to significant symptomatology that may require surgical decompression. Notable examples are trigeminal neuralgia and hemifacial spasm. Read More

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http://doi.wiley.com/10.1002/lio2.209
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http://dx.doi.org/10.1002/lio2.209DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6209614PMC
October 2018
23 Reads

Retrospective clinical analysis of 320 cases of microvascular decompression for hemifacial spasm.

Medicine (Baltimore) 2018 Oct;97(41):e11825

Department of Neurosurgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing.

To investigate effects of microvascular decompression (MVD) surgical treatment on hemifacial spasm.A retrospective analysis of 320 adult patients (95 male cases, 29.7% and 225 female cases, 70. Read More

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http://dx.doi.org/10.1097/MD.0000000000011825DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6203468PMC
October 2018
1 Read

Prosthetic material degeneration over time as a possible factor in delayed recurrence of hemifacial spasm after successful microvascular decompression.

Surg Neurol Int 2018 10;9:187. Epub 2018 Sep 10.

Department of Neurosurgery, Faculty of Medicine, Juntendo University, Tokyo, Japan.

Background: The effectiveness of microvascular decompression in treating hemifacial spasm is widely accepted. However, some experience recurrence of hemifacial spasm after successful decompression surgery. Especially, delayed recurrence more than 5 years after surgery is rare and the cause of this phenomenon is unknown. Read More

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http://dx.doi.org/10.4103/sni.sni_146_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6157039PMC
September 2018
14 Reads

Hemifacial Spasm Caused by a Vein: A Case Report.

Asian J Neurosurg 2018 Jul-Sep;13(3):786-788

Department of Neurosurgery, Seoul St. Mary's Hospital, Seoul, Republic of Korea.

Hemifacial spasm (HFS) caused by a venous offender is rare, and its clinical course and optimal surgical strategy are unclear. A case of 57-year-old male who had an HFS caused by a venous offender is described in this report. Frontalis, orbicularis oculi, orbicularis oris, and mentalis muscles were involved while his platysma muscle showed no spasm. Read More

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http://dx.doi.org/10.4103/1793-5482.238005DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6159036PMC
October 2018