Cited 63 times in
Unusual causes and presentations of hemifacial spasm
DC Field | Value | Language |
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dc.contributor.author | 장종희 | - |
dc.contributor.author | 장진우 | - |
dc.date.accessioned | 2015-04-24T17:20:59Z | - |
dc.date.available | 2015-04-24T17:20:59Z | - |
dc.date.issued | 2009 | - |
dc.identifier.issn | 0148-396X | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/105232 | - |
dc.description.abstract | OBJECTIVE: To evaluate unusual possible causes and clinical presentations of hemifacial spasm (HFS). METHODS: The authors reviewed 1642 cases of HFS. Assessments were based on clinical features, 3-dimensional time-of-flight magnetic resonance angiography, and surgical findings. Causes other than neurovascular compression at the root exit zone of the facial nerve were investigated and unusual clinical presentations were noted. RESULTS: Nine (0.5%) patients had a secondary causative structural lesion, 7 patients had a tumor, and the remaining 2 had a vascular malformation. Direct compression by dolichoectatic vertebrobasilar artery was noted in 12 (0.7%) patients. In 7 (0.4%) patients, only the distal portion of the facial nerve was compressed, and five (0.3%) had only venous compression. Bilateral HFS and tic convulsif were encountered in 7 (0.4%) and 6 (0.37%) patients, respectively. Fifty-six (3.4%) patients were younger than 30 years old at the time of microvascular decompression. CONCLUSION: HFS can result from tumor, vascular malformation, and dolichoectatic artery. Therefore, appropriate preoperative radiological investigations are crucial to achieve a correct diagnosis. The authors emphasize that distal compression or only venous compression can be responsible for persistent or recurrent symptoms postoperatively. In cases of bilateral HFS, a definite differential diagnosis is necessary for appropriate therapy. MVD is recommended as the treatment of choice in patients younger than 30 years old or patients with painful tic convulsif | - |
dc.description.statementOfResponsibility | open | - |
dc.format.extent | 130~137 | - |
dc.relation.isPartOf | NEUROSURGERY | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Adolescent | - |
dc.subject.MESH | Adult | - |
dc.subject.MESH | Aged | - |
dc.subject.MESH | Decompression, Surgical/adverse effects | - |
dc.subject.MESH | Decompression, Surgical/methods | - |
dc.subject.MESH | Facial Nerve | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Hemifacial Spasm/etiology* | - |
dc.subject.MESH | Hemifacial Spasm/surgery | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Nerve Compression Syndromes/complications* | - |
dc.subject.MESH | Nerve Compression Syndromes/pathology | - |
dc.subject.MESH | Neurosurgical Procedures/adverse effects | - |
dc.subject.MESH | Neurosurgical Procedures/methods | - |
dc.subject.MESH | Retrospective Studies | - |
dc.subject.MESH | Vascular Diseases/complications* | - |
dc.subject.MESH | Vascular Diseases/surgery | - |
dc.subject.MESH | Young Adult | - |
dc.title | Unusual causes and presentations of hemifacial spasm | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Neurosurgery (신경외과학) | - |
dc.contributor.googleauthor | In-Bo Han | - |
dc.contributor.googleauthor | Jong Hee Chang | - |
dc.contributor.googleauthor | Jin Woo Chang | - |
dc.contributor.googleauthor | Ryoong Huh | - |
dc.contributor.googleauthor | Sang Sup Chung | - |
dc.identifier.doi | 10.1227/01.NEU.0000348548.62440.42 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A03470 | - |
dc.contributor.localId | A03484 | - |
dc.relation.journalcode | J02366 | - |
dc.identifier.eissn | 1524-4040 | - |
dc.identifier.pmid | 19574834 | - |
dc.identifier.url | http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00006123-200907000-00025&LSLINK=80&D=ovft | - |
dc.subject.keyword | Bilateral | - |
dc.subject.keyword | Dolichoectasia | - |
dc.subject.keyword | Facial nerve | - |
dc.subject.keyword | Hemifacial spasm | - |
dc.subject.keyword | Neurovascular compression | - |
dc.subject.keyword | Tic convulsif | - |
dc.contributor.alternativeName | Chang, Jong Hee | - |
dc.contributor.alternativeName | Chang, Jin Woo | - |
dc.contributor.affiliatedAuthor | Chang, Jong Hee | - |
dc.contributor.affiliatedAuthor | Chang, Jin Woo | - |
dc.citation.volume | 65 | - |
dc.citation.number | 1 | - |
dc.citation.startPage | 130 | - |
dc.citation.endPage | 137 | - |
dc.identifier.bibliographicCitation | NEUROSURGERY, Vol.65(1) : 130-137, 2009 | - |
dc.identifier.rimsid | 53212 | - |
dc.type.rims | ART | - |
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