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Clinical analysis of repeat microvascular decompression for recurrent hemifacial spasm

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机构: [1]Beijing Institute of Function neurosurgery, Xuanwu Hospital, Capital Medical University, 45 Changchun street, Beijing 100053, China
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关键词: Failed microvascular decompression Hemifacial spasm Re-operation Recurrent

摘要:
The aim of this study was to investigate the effects of repeat microvascular decompression (MVD) for recurrent hemifacial spasm (HFS). The clinical features, surgical findings, outcomes, and complications of 13 patients who underwent MVD with a history of prior MVD in Xuanwu Hospital between January 2010 and May 2017 were analysed retrospectively. All patients were successfully treated for their HFS but experienced recurrent symptoms and received repeat MVD. Teflon felt factors (9/13, 69.2%) and vascular changes (4/13, 30.8%) were the main reasons for recurrent HFS. With a mean follow-up of 34.6 months after surgery (ranging from 12 to 92 months), 11 (84.6%) patients achieved complete or major spasm alleviation and two patients (15.4%) achieved fair outcomes. Surgical complications included transited mild to moderate facial weakness in two patients (15.4%). None of the patients had serious surgical morbidities. Repeat MVD is an effective and safe treatment for recurrent HFS. © 2019, Belgian Neurological Society.

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出版当年[2018]版:
大类 | 4 区 医学
小类 | 4 区 临床神经病学 4 区 神经科学
最新[2023]版:
大类 | 4 区 医学
小类 | 4 区 临床神经病学 4 区 神经科学
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出版当年[2017]版:
Q3 CLINICAL NEUROLOGY Q4 NEUROSCIENCES
最新[2023]版:
Q3 CLINICAL NEUROLOGY Q3 NEUROSCIENCES

影响因子: 最新[2023版] 最新五年平均 出版当年[2017版] 出版当年五年平均 出版前一年[2016版] 出版后一年[2018版]

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第一作者机构: [1]Beijing Institute of Function neurosurgery, Xuanwu Hospital, Capital Medical University, 45 Changchun street, Beijing 100053, China
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通讯机构: [1]Beijing Institute of Function neurosurgery, Xuanwu Hospital, Capital Medical University, 45 Changchun street, Beijing 100053, China
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