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Reoperation for persistent or recurrent hemifacial spasm after microvascular decompression

DC Field Value Language
dc.contributor.author박용구-
dc.contributor.author박용숙-
dc.contributor.author장종희-
dc.contributor.author장진우-
dc.contributor.author정상섭-
dc.contributor.author조준-
dc.date.accessioned2015-06-10T12:03:43Z-
dc.date.available2015-06-10T12:03:43Z-
dc.date.issued2006-
dc.identifier.issn0148-396X-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/109120-
dc.description.abstractOBJECTIVE: The objective of this study was to investigate the outcome of reoperation for persistent or recurrent hemifacial spasm (HFS) after microvascular decompression (MVD). METHODS: Repeat MVD was performed on 13 patients with an HFS between June 1994 and May 2004. Patients who had compressing offending vessels identified on postoperative (prerevision) three-dimensional short-range magnetic resonance angiography were selected for repeat MVD. RESULTS: Six patients were found to have no improvement in HFS with the first MVD. All of these patients exhibited excellent improvement after the second MVD. In one patient who had mild improvement with the first MVD, but with more than 50% of remaining spasm, complete abolition of spasm occurred immediately after the second MVD. Six patients showed initial relief and subsequent aggravation of HFS after the first MVD. Of these patients, four had excellent results with the second MVD, one had a good result, and one had a fair outcome. Adverse effects after the second MVD were found in two patients (one patient with permanent mild facial weakness and one patient with hearing impairment). There was no serious morbidity associated with the second MVD. CONCLUSION: Our data suggest that repeat MVD of the facial nerve may be sufficient to resolve symptoms in selected patients with persistent or recurrent HFS. Additionally, three-dimensional short-range magnetic resonance angiography may help to identify the offending vessels and to select the patients with persistent or recurrent HFS.-
dc.description.statementOfResponsibilityopen-
dc.format.extent1162~1166-
dc.relation.isPartOfNEUROSURGERY-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAdult-
dc.subject.MESHBlood Vessels/pathology-
dc.subject.MESHChronic Disease-
dc.subject.MESHDecompression, Surgical*/adverse effects-
dc.subject.MESHFacial Nerve/blood supply*-
dc.subject.MESHFemale-
dc.subject.MESHHemifacial Spasm/diagnosis-
dc.subject.MESHHemifacial Spasm/surgery*-
dc.subject.MESHHumans-
dc.subject.MESHImaging, Three-Dimensional-
dc.subject.MESHMagnetic Resonance Angiography-
dc.subject.MESHMale-
dc.subject.MESHMicrocirculation*-
dc.subject.MESHMiddle Aged-
dc.subject.MESHRecurrence-
dc.subject.MESHReoperation/adverse effects-
dc.subject.MESHTreatment Outcome-
dc.subject.MESHVascular Surgical Procedures*/adverse effects-
dc.titleReoperation for persistent or recurrent hemifacial spasm after microvascular decompression-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Orthopedic Surgery (정형외과학)-
dc.contributor.googleauthorYong Sook Park-
dc.contributor.googleauthorJong Hee Chang-
dc.contributor.googleauthorJoon Cho-
dc.contributor.googleauthorYong Gou Park-
dc.contributor.googleauthorSang Sup Chung-
dc.contributor.googleauthorJin Woo Chang-
dc.identifier.doi10.1227/01.NEU.0000215954.97948.B3-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA01578-
dc.contributor.localIdA01580-
dc.contributor.localIdA03470-
dc.contributor.localIdA03484-
dc.contributor.localIdA03611-
dc.contributor.localIdA03909-
dc.relation.journalcodeJ02366-
dc.identifier.eissn1524-4040-
dc.identifier.pmid16723895-
dc.identifier.urlhttp://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00006123-200606000-00016&LSLINK=80&D=ovft-
dc.subject.keywordHemifacial spasm-
dc.subject.keywordMagnetic resonance angiography-
dc.subject.keywordMicrovascular decompression-
dc.subject.keywordRecurrence-
dc.subject.keywordReoperation-
dc.contributor.alternativeNamePark, Yong Gou-
dc.contributor.alternativeNamePark, Yong Sook-
dc.contributor.alternativeNameChang, Jong Hee-
dc.contributor.alternativeNameChang, Jin Woo-
dc.contributor.alternativeNameChung, Sang Sup-
dc.contributor.alternativeNameJo, Joon-
dc.contributor.affiliatedAuthorPark, Yong Gou-
dc.contributor.affiliatedAuthorPark, Yong Sook-
dc.contributor.affiliatedAuthorChang, Jong Hee-
dc.contributor.affiliatedAuthorChang, Jin Woo-
dc.contributor.affiliatedAuthorChung, Sang Sup-
dc.contributor.affiliatedAuthorJo, Joon-
dc.rights.accessRightsnot free-
dc.citation.volume58-
dc.citation.number6-
dc.citation.startPage1162-
dc.citation.endPage1166-
dc.identifier.bibliographicCitationNEUROSURGERY, Vol.58(6) : 1162-1166, 2006-
dc.identifier.rimsid50600-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers

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