How I do it: endoscopic microvascular decompression for hemifacial spasm associated with the vertebral artery

Fuminari Komatsu; Masaaki Imai; Mitsunori Matsumae

doi:10.1007/s00701-017-3392-9

How I do it: endoscopic microvascular decompression for hemifacial spasm associated with the vertebral artery

Fuminari Komatsu, Masaaki Imai, Mitsunori Matsumae

Research output: Contribution to journal › Article › peer-review

10 Citations (Scopus)

Abstract

Background: Microvascular decompression (MVD) of hemifacial spasm (HFS) associated with the vertebral artery (VA) shows higher rates of incomplete cure and complications compared to non-VA-related HFS. Method: Purely endoscopic MVD for VA-associated HFS via a retrosigmoid keyhole was performed. Neurovascular conflicts by a directly offending artery and VA around the root exit zone of the facial nerve were clearly demonstrated under 30° endoscopic view without significant cerebellar retraction. The VA and directly offending artery were safely transposed with preservation of perforators under excellent view. Conclusion: Endoscopic MVD offers reliable decompression for VA-associated HFS with minimal invasiveness.

Original language	English
Pages (from-to)	157-159
Number of pages	3
Journal	Acta Neurochirurgica
Volume	160
Issue number	1
DOIs	https://doi.org/10.1007/s00701-017-3392-9
Publication status	Published - 01-01-2018
Externally published	Yes

All Science Journal Classification (ASJC) codes

Surgery
Clinical Neurology

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10.1007/s00701-017-3392-9

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title = "How I do it: endoscopic microvascular decompression for hemifacial spasm associated with the vertebral artery",

abstract = "Background: Microvascular decompression (MVD) of hemifacial spasm (HFS) associated with the vertebral artery (VA) shows higher rates of incomplete cure and complications compared to non-VA-related HFS. Method: Purely endoscopic MVD for VA-associated HFS via a retrosigmoid keyhole was performed. Neurovascular conflicts by a directly offending artery and VA around the root exit zone of the facial nerve were clearly demonstrated under 30° endoscopic view without significant cerebellar retraction. The VA and directly offending artery were safely transposed with preservation of perforators under excellent view. Conclusion: Endoscopic MVD offers reliable decompression for VA-associated HFS with minimal invasiveness.",

author = "Fuminari Komatsu and Masaaki Imai and Mitsunori Matsumae",

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doi = "10.1007/s00701-017-3392-9",

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AU - Komatsu, Fuminari

AU - Imai, Masaaki

AU - Matsumae, Mitsunori

PY - 2018/1/1

Y1 - 2018/1/1

N2 - Background: Microvascular decompression (MVD) of hemifacial spasm (HFS) associated with the vertebral artery (VA) shows higher rates of incomplete cure and complications compared to non-VA-related HFS. Method: Purely endoscopic MVD for VA-associated HFS via a retrosigmoid keyhole was performed. Neurovascular conflicts by a directly offending artery and VA around the root exit zone of the facial nerve were clearly demonstrated under 30° endoscopic view without significant cerebellar retraction. The VA and directly offending artery were safely transposed with preservation of perforators under excellent view. Conclusion: Endoscopic MVD offers reliable decompression for VA-associated HFS with minimal invasiveness.

AB - Background: Microvascular decompression (MVD) of hemifacial spasm (HFS) associated with the vertebral artery (VA) shows higher rates of incomplete cure and complications compared to non-VA-related HFS. Method: Purely endoscopic MVD for VA-associated HFS via a retrosigmoid keyhole was performed. Neurovascular conflicts by a directly offending artery and VA around the root exit zone of the facial nerve were clearly demonstrated under 30° endoscopic view without significant cerebellar retraction. The VA and directly offending artery were safely transposed with preservation of perforators under excellent view. Conclusion: Endoscopic MVD offers reliable decompression for VA-associated HFS with minimal invasiveness.

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How I do it: endoscopic microvascular decompression for hemifacial spasm associated with the vertebral artery

Abstract

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