• World Neurosurg · Jul 2022

    Case Reports

    Value of Endoscopic visualization during the sling-transposition technique for Microvascular decompression of the facial nerve in a case with Hemifacial spasm.

    • Ehab El Refaee, Marc Matthes, and SchroederHenry W SHWSDepartment of Neurosurgery, Kasr Al-Ainy Faculty of Medicine, Cairo University, Cairo, Egypt..
    • Department of Neurosurgery, University Medicine Greifswald, Greifswald, Germany; Department of Neurosurgery, Kasr Al-Ainy Faculty of Medicine, Cairo University, Cairo, Egypt. Electronic address: e.elrefaee@googlemail.com.
    • World Neurosurg. 2022 Jul 1; 163: 4.

    AbstractEndoscopic visualization during microvascular decompression for hemifacial spasm enables better identification of compression areas along the facial nerve, which is especially important in cases with complex compression and enlarged vessels obscuring the compression site. A 40-year-old man presented with a 10-year history of left hemifacial spasm. Magnetic resonance imaging showed a deep compression site with multiple vessels. Within the narrow space, the compression area was clearly visualized using an angled endoscope. Arterial transposition was performed using a polytetrafluoroethylene (Teflon) sling, which was fixed to the nearby dura using an aneurysm clip. Decompression was visually confirmed using the angled endoscope. The patient was free of spasms directly after surgery with no further complications and no recurrence of spasm during 6-month follow-up (Video 1).Copyright © 2022 Elsevier Inc. All rights reserved.

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