302 360

Cited 0 times in

The effect of microvascular decompression for hemifacial spasm caused by vertebrobasilar dolichoectasia

DC Field Value Language
dc.contributor.author장진우-
dc.date.accessioned2014-12-19T17:10:57Z-
dc.date.available2014-12-19T17:10:57Z-
dc.date.issued2012-
dc.identifier.issn2005-3711-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/90928-
dc.description.abstractOBJECTIVE: Hemifacial spasm (HFS) caused by vertebrobasilar dolichoectasia (VBD) is very rare, and in theses cases, it is difficult to decompress the nerve from its vascular compression. The objective of this study was to investigate the outcome of microvascular decompression (MVD) for HFS caused by VBD. METHODS: There were 10 patients of HFS caused by VBD at our hospital between September 1978 and September 2008. We evaluated magnetic resonance angiography (MRA) and time of flight magnetic resonance imaginge (TOF MRI) findings using the criteria for VBD. We compared the clinical outcomes of MVD for the 10 patients with VBD with the overall outcomes of the total 2058 MVDs performed for HFS. RESULTS: The results of MVD for HFS caused by VBD were successful in 90.9% of cases. The postoperative complication rate in VBD was 45.5%. Offending vessels in patients with VBD were identified visually during surgery. Adverse effects after MVD were found in 4 patients. We found that the diameter of VBD was significantly greater in patients with complications than in those with no complications (p=0.028). CONCLUSION: Our data shows that MVD may be a good treatment modality for HFS caused by VBD but care must be taken to avoid adverse effects from the procedure. It is important to detach the dolichoectatic artery from its surrounding structures sufficiently to allow it to be easily movable. In addition, attempts should be made to lessen the retraction of the cerebellum during release of the dolichoectatic artery.-
dc.description.statementOfResponsibilityopen-
dc.relation.isPartOfJOURNAL OF KOREAN NEUROSURGICAL SOCIETY-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.titleThe effect of microvascular decompression for hemifacial spasm caused by vertebrobasilar dolichoectasia-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Neurosurgery (신경외과학)-
dc.contributor.googleauthorJeong-Han Kang-
dc.contributor.googleauthorDong-Wan Kang-
dc.contributor.googleauthorSang Sup Chung-
dc.contributor.googleauthorJin Woo Chang-
dc.identifier.doi23091664-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA03484-
dc.relation.journalcodeJ01520-
dc.identifier.eissn1598-7876-
dc.identifier.pmid23091664-
dc.subject.keywordHemifacial spasm-
dc.subject.keywordMicrovascular decompression-
dc.subject.keywordVertebrobasilar dolichoectasia-
dc.contributor.alternativeNameChang, Jin Woo-
dc.contributor.affiliatedAuthorChang, Jin Woo-
dc.citation.volume52-
dc.citation.number2-
dc.citation.startPage85-
dc.citation.endPage91-
dc.identifier.bibliographicCitationJOURNAL OF KOREAN NEUROSURGICAL SOCIETY, Vol.52(2) : 85-91, 2012-
dc.identifier.rimsid33221-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학교실) > 1. Journal Papers

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.