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Microvascular decompression of the facial nerve for hemifacial spasm in youth

Authors
 Jin Chang  ;  Jong Chang  ;  Yong Park  ;  Sang Chung 
Citation
 CHILDS NERVOUS SYSTEM, Vol.17(6) : 309-312, 2001 
Journal Title
 CHILDS NERVOUS SYSTEM 
ISSN
 0256-7040 
Issue Date
2001
MeSH
Adolescent ; Adult ; Age Factors ; Aged ; Arteries/surgery ; Cerebellum/blood supply ; Child ; Decompression, Surgical* ; Facial Nerve Diseases/etiology ; Facial Nerve Diseases/surgery* ; Female ; Hemifacial Spasm/etiology ; Hemifacial Spasm/surgery* ; Humans ; Male ; Microcirculation/surgery ; Microsurgery* ; Middle Aged ; Nerve Compression Syndromes/etiology ; Nerve Compression Syndromes/surgery* ; Retrospective Studies ; Treatment Outcome ; Vertebral Artery/surgery
Keywords
Hemifacial spasm ; Microvascular decompression ; Facial nerve ; Youth
Abstract
Objects: The goal of this study was to investigate the differences between clinical findings in youth and in adulthood on microvascular decompression (MVD) of the facial nerve for the treatment of hemifacial spasm (HFS). Methods: We retrospectively evaluated 855 patients who underwent MVD from January 1985 to July 1999. In our series of 33 young HFS patients, all patients had definite offending vessels. Interestingly, pathologic tortuous vertebral artery as a possible etiology was more rarely observed in young HFS patients (1/33 patients, 3.0%) than in adult patients (61/822 patients, 7.4%) (P<0.05). We did not observe any anatomical variations of the vessels or any arachnoidal thickening around the root entry zone and cerebellopontine cistern in youths. Furthermore, young HFS patients did not necessarily have poorer surgical outcomes than adult HFS patients. Conclusions: Our results suggest that the cause and progress of HFS are the same in youth as in adulthood, even though the pathogenesis of early onset remains unclear.
Full Text
http://link.springer.com/article/10.1007/s003810000432
DOI
10.1007/s003810000432
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학교실) > 1. Journal Papers
Yonsei Authors
Park, Yong Gou(박용구)
Chang, Jong Hee(장종희) ORCID logo https://orcid.org/0000-0003-1509-9800
Chang, Jin Woo(장진우) ORCID logo https://orcid.org/0000-0002-2717-0101
Chung, Sang Sup(정상섭)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/142815
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