期刊
JOURNAL OF KOREAN NEUROSURGICAL SOCIETY
卷 42, 期 5, 页码 355-362出版社
KOREAN NEUROSURGICAL SOC
DOI: 10.3340/jkns.2007.42.5.355
关键词
hemifacial spasm; microvascular decompression; craniofacial abnormalities
Hemifacial spasm (HFS) is characterized by tonic clonic contractions of the muscles innervated by the ipsilateral facial nerve. Compression of the facial nerve by an ectatic vessel is widely recognized as the most common underlying etiology. HFS needs to be differentiated from other causes of facial spasms, such as facial tic, ocular myokymia, and blepharospasm. To understand the overall craniofacial abnormalities and to perform the optimal surgical procedures for HFS, we are to review the prevalence, pathophysiology, differential diagnosis, details of each treatment modality, usefulness of brainstem auditory evoked potentials monitoring, debates on the facial EMG, clinical course, and complications from the literature published from 1995 to the present time.
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