2,423 results match your criteria Hemifacial Spasm

Intermediate nerve neuralgia developed during hemifacial spasm follow-up: illustrative case.

J Neurosurg Case Lessons 2022 Jun 20;3(25):CASE22144. Epub 2022 Jun 20.

Department of Neurosurgery, International University of Health and Welfare, School of Medicine, Narita Hospital, Chiba, Japan.

Background: Intermediate nerve neuralgia (INN) is a rare condition believed to be caused by vascular compression, with external auditory canal pain as the chief symptom. The authors reported a rare case of a 78-year-old woman who developed INN during follow-up for hemifacial spasm (HFS).

Observations: The patient had been receiving Botox treatment for right HFS for 20 years when she developed paroxysmal electric shock pain in the right external auditory canal and tinnitus induced by opening her mouth. Read More

View Article and Full-Text PDF

New Technology: Compound Abnormal Muscle Response During Microvascular Decompression for Hemifacial Spasm.

J Craniofac Surg 2022 May;33(3):e283-e285

Department of Neurosurgery, Xin Hua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.

Objective: To discuss effect of intraoperative compound abnormal muscle response (AMR) in patients undergoing microvascular decompression (MVD) for hemifacial spasm (HFS).

Methods: Eighty-six HFS patients were underwent single or compound AMR monitoring during MVD. Single AMR recording was from the frontal muscle by stimulation of the marginal mandibular branch. Read More

View Article and Full-Text PDF

Commentary: A Novel Approach to Microvascular Decompression for Hemifacial Spasm: Method Description and Associated Outcomes.

Oper Neurosurg (Hagerstown) 2022 Jul 11;23(1):e23-e25. Epub 2022 May 11.

Department of Neurological Surgery, University of Washington, Seattle, Washington, USA.

View Article and Full-Text PDF

Fully Endoscopic Microvascular Decompression for Hemifacial Spasm Using Improved Retrosigmoid Infrafloccular Approach: Clinical Analysis of 81 Cases.

Oper Neurosurg (Hagerstown) 2022 Jul 20;23(1):40-45. Epub 2022 Apr 20.

Department of Neurosurgery, Qilu Hospital, Cheeloo College of Medicine, Shandong University, Jinan, China.

Background: Microvascular decompression (MVD) is widely accepted as the preferred treatment for hemifacial spasm (HFS). Endoscopy has been implemented to provide a comprehensive view of neurovascular conflicts and minimize the damage caused by brain retraction while exploring the facial nerve root exit zone of the brain stem.

Objective: To preliminarily evaluate the surgical safety and efficacy of fully endoscopic MVD for HFS using an improved retrosigmoid infrafloccular approach. Read More

View Article and Full-Text PDF

Complex Neurovascular Syndromes: Is the Compressing Vessel Alone the Culprit?

J Neurosci Rural Pract 2022 Apr 28;13(2):283-289. Epub 2022 Mar 28.

Department of Neuro and Spine Surgery, Neuro World and Suchirayu Hospital, Hubli, Karnataka, India.

 To describe and correlate the clinical, radiological, and intraoperative findings in patients with refractory neurovascular syndromes (NVS) not responding to conventional medical management and to determine the surgical outcome of the microvascular decompression (MVD) procedure. Medical records of 17 patients with NVS (trigeminal neuralgia [TN] = 14 and hemifacial spasm = 3) who underwent surgery for symptom relief from January 2018 to July 2021 with follow-up data (1-36 months) were retrospectively analyzed. Patient demographics (age, sex), clinical features (site, duration of symptoms, distribution), magnetic resonance imaging (MRI) findings, micro-neurosurgical details (type of surgery, obstructive vessel), and postoperative outcome and complications were recorded. Read More

View Article and Full-Text PDF

Microanatomy of the central myelin portion and transitional zone of the oculomotor and abducens nerves.

Folia Morphol (Warsz) 2022 Jun 13. Epub 2022 Jun 13.

Department of Anatomy, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.

Background: The microanatomy of the central myelin portion and transitional zone of several cranial nerves including trigeminal, facial, vestibulocochlear, glossopharyngeal, and vagus nerves have been clearly demonstrated to provide information for neurovascular compression syndrome such as trigeminal neuralgia and hemifacial spasm. However, the study of oculomotor and abducens nerve is limited.

Material And Methods: Oculomotor and abducens nerves were harvested with a portion of brainstem and embeded in paraffin. Read More

View Article and Full-Text PDF

Deep Learning Based Real-Time Semantic Segmentation of Cerebral Vessels and Cranial Nerves in Microvascular Decompression Scenes.

Cells 2022 Jun 2;11(11). Epub 2022 Jun 2.

Changchun Institute of Optics, Fine Mechanics and Physics, Chinese Academy of Sciences, Changchun 130033, China.

Automatic extraction of cerebral vessels and cranial nerves has important clinical value in the treatment of trigeminal neuralgia (TGN) and hemifacial spasm (HFS). However, because of the great similarity between different cerebral vessels and between different cranial nerves, it is challenging to segment cerebral vessels and cranial nerves in real time on the basis of true-color microvascular decompression (MVD) images. In this paper, we propose a lightweight, fast semantic segmentation Microvascular Decompression Network (MVDNet) for MVD scenarios which achieves a good trade-off between segmentation accuracy and speed. Read More

View Article and Full-Text PDF

Ingenuity using 3D-MRI fusion image in evaluation before and after microvascular decompression for hemifacial spasm.

Surg Neurol Int 2022 20;13:209. Epub 2022 May 20.

Department of Neurosurgery, Yamagata City Hospital Saiseikan, Yamagata, Japan.

Background: Hemifacial spasm (HFS) is most often caused by blood vessels touching a facial nerve. In particular, responsible vessels compress the root exit zone (REZ) of the facial nerve. Although we recognize these causes of HFS, it is difficult to evaluate the findings of precise lesion in radiological imaging when vessels compress REZ. Read More

View Article and Full-Text PDF

Lateral Suboccipital Infrafloccular Approach with Extensive Arachnoid Dissection for Vertebral Artery-Associated Hemifacial Spasm: Two-Dimensional Operative Video.

World Neurosurg 2022 Jun 3;164:305. Epub 2022 Jun 3.

Department of Neurosurgery, Hamanomachi Hospital, Fukuoka, Japan.

Hemifacial spasm (HFS) is generally caused by compression of the root exit zone (REZ) of the facial nerve by the anterior and posterior inferior cerebellar arteries and occasionally the vertebral artery (VA). Owing to its large caliber and high stiffness, microvascular decompression (MVD) for VA-associated HFS is considered more difficult, and the result is worse than for HFS not associated with the VA. Therefore, a safer, more reliable MVD is required for VA-associated HFS. Read More

View Article and Full-Text PDF

Factors Related to Hemifacial Spasm Recurrence in Patients Undergoing Microvascular Decompression-A Systematic Review and Meta-Analysis.

Brain Sci 2022 Apr 29;12(5). Epub 2022 Apr 29.

Department of Neuroscience, Neurosurgery Section, Università Cattolica del Sacro Cuore, 00168 Rome, Italy.

There is a lack of knowledge about the factors associated with the recurrence of hemifacial spam (HFS) following an initially successful microvascular decompression (MVD) surgery. The aim of the present study was to systematically review the pertinent literature and carry out a meta-analysis of factors linked to HFS recurrence in patients undergoing initially successful MVD treatment. An online literature search was launched on the PubMed/Medline and Scopus databases. Read More

View Article and Full-Text PDF

Therapeutic Approach to Botulinum Injections for Hemifacial Spasm, Synkinesis and Blepharospasm.

Toxins (Basel) 2022 05 23;14(5). Epub 2022 May 23.

Department of Neurology, Shaare Zedek Medical Center, Jerusalem 9103102, Israel.

The aim of this study was to show our therapeutic outcome of botulinum injection to the facial muscles and thereby to find the best therapeutic concept which should be embraced. The decision to treat the lower eyelid with 1-point or 2-points injection was randomly taken as there is no consensus regarding this debate. Injections of the lateral end of the upper eyelid were performed more laterally to the conventional injection point, just lateral to the conjunction of the upper and lower eyelids. Read More

View Article and Full-Text PDF

Movement Disorders in Multiple Sclerosis: An Update.

Tremor Other Hyperkinet Mov (N Y) 2022 4;12:14. Epub 2022 May 4.

Department of Neurology, University Hospital "12 de Octubre", Madrid, Spain.

Background: Multiple sclerosis (MS), a subset of chronic primary inflammatory demyelinating disorders of the central nervous system, is closely associated with various movement disorders. These disorders may be due to MS pathophysiology or be coincidental. This review describes the full spectrum of movement disorders in MS with their possible mechanistic pathways and therapeutic modalities. Read More

View Article and Full-Text PDF

Influence of Minimum Alveolar Concentration and Inhalation Duration of Sevoflurane on Facial Nerve Electromyography in Hemifacial Spasm: A Randomized Controlled Trial.

J Neurosurg Anesthesiol 2022 May 17. Epub 2022 May 17.

Departments of Anesthesiology.

Background: The lateral spread response (LSR) is an electromyography feature of hemifacial spasm; intraoperative reduction in the LSR is associated with positive surgical outcomes. This study examined the effects of different minimum alveolar concentrations (MACs) and durations of sevoflurane inhalation on the LSR.

Methods: Eighty patients undergoing microvascular decompression surgery for hemifacial spasm were randomly allocated to receive propofol-remifentanil total intravenous anesthesia alone or in combination with sevoflurane at 0. Read More

View Article and Full-Text PDF

The "ePTFE Sleeve" for Microvascular Decompression of the Facial Nerve.

World Neurosurg 2022 May 13;164:240. Epub 2022 May 13.

Department of Neurosurgery, Hospital Juárez de México, Avenido Instituto Politecnico Nacional, Magdalena de las Salinas, Gustavo A. Madero, Mexico City, Mexico.

Hemifacial spasm is a cranial nerve compression syndrome caused by the anteroinferior cerebellar artery (AICA) and posteroinferior cerebellar artery (PICA), characterized by involuntary tonic/clonic contractions of the muscles. The refractory hemifacial spasm can be treated with microvascular decompression, and multivessel compression could require more than conventional microvascular decompression. Multivessel compression may be challenging, and placement of conventional materials may not be sufficient and risks migration. Read More

View Article and Full-Text PDF

MRI measurements the linear volume of posterior cranial fossa in patients with hemifacial spasm.

J Clin Neurosci 2022 Jul 13;101:94-99. Epub 2022 May 13.

Department of Neurosurgery, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China. Electronic address:

To explore the pathogenesis of hemifacial spasm (HFS) and the effect of posterior fossa volume on postoperative complications. The measurements of the antero-posterior diameter of foramen magnum, the length of supraocciput, the angle of tentorium cerebelli, clivus and occipital bone were performed on MRI. The data of measurements and postoperative complications were then analyzed and statistically examined. Read More

View Article and Full-Text PDF

Evaluation of MR-Tractography Findings in Hemifacial Spasm Patients Injected with Botulinum Neurotoxin.

Neurol India 2022 Mar-Apr;70(2):543-547

Department of Radiology, University of Kocaeli, Kocaeli, Turkey.

Background And Introduction: Botulinum neurotoxin (BoNT) is a potent biological toxin extracted from Clostridium Botulinum bacteria. BoNT injection is mainly used for medical purposes; it is frequently used for cosmetic purposes as well. The hypothesis that frequent application of this treatment modality may also affect the central nervous system constitutes the subject of our study. Read More

View Article and Full-Text PDF

Common trunk anomaly of the anterior and posterior inferior cerebellar artery in hemifacial spasm.

Acta Neurochir (Wien) 2022 May 7. Epub 2022 May 7.

Department of Neurosurgery, Koto Memorial Hospital, 2-1 Hiramatsu-cho, Higashiohmi-shi, Shiga, 527-0134, Japan.

Background: The common trunk anomaly of the anterior and posterior inferior cerebellar artery (APC) is a variant artery that causes a hemifacial spasm (HFS). The anatomical characteristics include a large diameter of the trunk and the existence of the bifurcation near the facial nerve root entry zone (REZ). Despite APC being encountered at a constant rate in microvascular decompression (MVD), the anatomical and technical issues of transposing APC have not been entirely focused on yet. Read More

View Article and Full-Text PDF

Hemifacial spasm secondary to Chiari malformation type I: Systematic review with case illustration.

J Clin Neurosci 2022 Jul 2;101:21-25. Epub 2022 May 2.

Department of Neurosurgery, Clinical Neuroscience Center, University of Utah, 175 N. Medical Drive East, Salt Lake City, UT 84132, USA; Department of Biomedical Engineering, University of Utah, 36 S. Wasatch Drive, Salt Lake City, UT 84112, USA. Electronic address:

Hemifacial spasm (HFS) can be associated with Chiari malformation type I (CM1), but the treatment paradigm for these concurrent conditions has not been well-defined. We sought demographical differences between patients with HFS with and without CM1 and explored optimal surgical treatments for these patients. A systematic review of peer-reviewed literature identified 8 studies with 51 patients with CM1 and HFS. Read More

View Article and Full-Text PDF

In reference to Microvascular decompression for hemifacial spasm involving the vertebral artery.

Fabio Piazza

Acta Neurol Belg 2022 May 4. Epub 2022 May 4.

Department of Otolaryngology-Head and Neck Surgery, ASST Carlo Poma Mantova, Mantua, Italy.

View Article and Full-Text PDF

Association of intraocular pressure and postoperative nausea and vomiting after microvascular decompression - a prospective cohort study.

BMC Anesthesiol 2022 04 30;22(1):132. Epub 2022 Apr 30.

Department of Anesthesiology, Peking University People's Hospital, No. 11 Xizhimen South Street, Xicheng District, Beijing, China.

Background: Postoperative nausea and vomiting is common in patients receiving microvascular decompression. In the current study, we examined whether postoperative nausea and vomiting is associated with reduced intraocular pressure (IOP) after microvascular decompression, a measure that reflects intracranial pressure.

Methods: This is a prospective cohort study. Read More

View Article and Full-Text PDF

Alterations of white matter tracts and topological properties of structural networks in hemifacial spasm.

NMR Biomed 2022 Apr 29:e4756. Epub 2022 Apr 29.

Institution of Information Processing and Automation, College of Information Engineering, Zhejiang University of Technology, Hangzhou, China.

Hemifacial spasm (HFS) is characterized by involuntary and paroxysmal muscle contractions on the hemiface. It is generally believed that HFS is caused by neurovascular compression at the root exit zone of the facial nerve. In recent years, the structural alterations of brains with HFS have aroused growing concern. Read More

View Article and Full-Text PDF

A Novel Approach to Microvascular Decompression for Hemifacial Spasm: Method Description and Associated Outcomes.

Oper Neurosurg (Hagerstown) 2022 Jul 29;23(1):e16-e22. Epub 2022 Apr 29.

Department of Neurosurgery, Graduate School of Biomedical Sciences, Tokushima University, Tokushima, Japan.

Background: Microvascular decompression (MVD) is the only potential cure for hemifacial spasm (HFS). However, traditional techniques such as the interposition method may have limited effect in some cases. Alternative techniques have been proposed; however, they can be more complex or difficult to perform than the standard approach. Read More

View Article and Full-Text PDF

Macrovascular Decompression for Hemifacial Spasm: Three-Dimensional Operative Video.

World Neurosurg 2022 Apr 26;164. Epub 2022 Apr 26.

Department of Neurosurgery, Hofstra Northwell School of Medicine, Manhasset, New York, USA. Electronic address:

In 1%-2% of patients with symptomatic vascular compression of a cranial nerve, the compression may be due to a tortuous dolichoectatic vertebrobasilar artery. The most common technique used for microvascular decompression relies on the placement of a polytetrafluoroethylene (Teflon) pledget or other buffer between the root of the nerve and the offending vessel loop, thereby decompressing the cranial nerve. In cases of macrovascular compression by a large tortuous artery, these buffering techniques fail to produce lasting results with risk for cranial nerve compression-related deficit, specifically the facial nerve. Read More

View Article and Full-Text PDF

Speech-induced action myoclonus.

Parkinsonism Relat Disord 2022 05 14;98:41-46. Epub 2022 Apr 14.

Division of Movement Disorders, Department of Neurology, Mayo Clinic, Rochester, MN, USA. Electronic address:

Background: Speech-induced action myoclonus may occur as a component of a generalized myoclonus syndrome. However, it may also present in isolation, or with a paucity of other findings, and be diagnostically challenging.

Objectives: To report a retrospective case series of restricted speech-induced action myoclonus. Read More

View Article and Full-Text PDF

Hemifacial spasm followed by predominantly unilateral upper limb monochorea unmasking type-2 diabetes mellitus.

Neurologia (Engl Ed) 2022 04;37(3):239-242

Department of Neurology, University Hospital "12 de Octubre", Madrid, Spain; Centro de Investigación Biomédica en Red sobre Enfermedades Neurodegenerativas (CIBERNED), Madrid, Spain; Department of Medicine, Complutense University, Madrid, Spain. Electronic address:

View Article and Full-Text PDF

Extracranial Radiofrequency Treatment for Painful Tic Convulsif Syndrome Under Local Anesthesia.

Pain Ther 2022 Jun 16;11(2):723-729. Epub 2022 Apr 16.

The Affiliated Hospital of Jiaxing University/The First Hospital of Jiaxing, No. 1882 South Zhonghuan Road, Nanhu District, Jiaxing City, Zhejiang, China.

Introduction: Painful tic convulsif syndrome is ipsilateral facial trigeminal neuralgia combined with hemifacial spasm, which is relatively rare in the clinic. Microvascular decompression is currently considered to be an effective treatment. We report extracranial radiofrequency treatment of painful tic convulsif syndrome under local anesthesia, a technique which provides a safer and more economical treatment for this kind of patient. Read More

View Article and Full-Text PDF

Microvascular Decompression: A Bibliometric Analysis of the 100 Most Cited Articles.

World Neurosurg 2022 Apr 15. Epub 2022 Apr 15.

Department of Neurosurgery, Hannover Medical School, Hannover, Germany.

Objective: Bibliometric analyses assess the impact and influence of articles in the academic community. There is no previous work that has used bibliometric analysis of microvascular decompression (MVD). This study aims to identify and characterize the 100 most cited articles on MVD. Read More

View Article and Full-Text PDF

The preoperative evaluation value of 3D-slicer program before microsurgical vascular decompression in patients with hemifacial spasm.

Clin Neurol Neurosurg 2022 06 4;217:107241. Epub 2022 Apr 4.

Department of Neurosurgery, Hebei General Hospital, Shijiazhuang, Hebei 050000, China. Electronic address:

Background: To compare the diagnostic accuracy of 3D fast imaging employing steady-state acquisition (FIESTA) combined with 3D-time-of-flight (TOF) MR angiography (MRA) sequences (FTMS) and 3D-reconstuction synthesized by 3D-slicer program in evaluation the neurovascular relationships and offending vessels preoperatively in patients with hemifacial spasm (HFS).

Methods: Clinical data of HFS patients who underwent microsurgical vascular decompression (MVD) were analyzed. All patients underwent MRA scans with FTMS and 3D-reconstruction before surgery. Read More

View Article and Full-Text PDF

Microvascular decompression for pediatric-onset hemifacial spasm: case series and literature review.

Childs Nerv Syst 2022 Apr 13. Epub 2022 Apr 13.

Department of Neurosurgery, XinHua Hospital (The Cranial, Nerve Disease Center of Shanghai), Shanghai JiaoTong University School of Medicine, Shanghai, 200092, China.

Objectives: Pediatric hemifacial spasm has been rarely reported in the literature, which contains only 44 cases. Although microvascular decompression (MVD) has been widely regarded as effective therapy for hemifacial spasm, the etiology and surgical treatment of pediatric patients are seldom reported. We report our experience with MVD for pediatric hemifacial spasm patients and review the literature with emphasis on the difference from adults. Read More

View Article and Full-Text PDF

[Higher efficacy of botulinum toxin therapy for hemifacial spasm recurrence after vascular decompression. Case report and literature review].

Zh Vopr Neirokhir Im N N Burdenko 2022 ;86(2):89-96

Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia.

Hemifacial spasm (HFS) is an involuntary synchronous tonic and/or clonic contraction of mimic muscles following ipsilateral facial nerve dysfunction. The last one is a result of neurovascular conflict between the facial nerve and vessel. Currently, vascular decompression is a pathogenetic treatment modality for primary HFS. Read More

View Article and Full-Text PDF