• Acta neurochirurgica · Feb 2015

    Case Reports

    Microvascular decompression under neuroendoscopic view in hemifacial spasm: rostral-type compression and perforator-type compression.

    • Mami Ishikawa, Yuichi Tanaka, and Eiju Watanabe.
    • Department of Neurosurgery, Saitama Medical Center, Jichi Medical University, 1-847 Amanumacho, Omiyaku, Saitamashi, Saitama, 330-8503, Japan, m.ishikawa@jichi.ac.jp.
    • Acta Neurochir (Wien). 2015 Feb 1; 157 (2): 329-32; discussion 332.

    AbstractWe report microvascular decompression (MVD) under neuroendoscopic view in hemifacial spasm (HFS) patients with rostral- and perforator-type compression of the root exit zone (REZ) of the facial nerve. Using either a wireless iPad Mini as a monitor on the microscope or a high-resolution monitor, microscopic and endoscopic views enabled MVD for complete cure of HFS with rostral-type compression (the offender compressing the REZ on the opposite rostral side to the operative approach) or perforator-type compression (the offender tethered to the REZ by the perforator). MVD under neuroendoscopic view may offer more accurate MVD and complete resolution of HFS.

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