How I do it: endoscopic microvascular decompression for hemifacial spasm associated with anterior inferior cerebellar artery–posterior inferior cerebellar artery common trunk

Afsal Sharafudeen; Fuminari Komatsu; Kantenga Dieu Merci Kabulo; Yoko Kato

doi:10.1007/s00701-024-05963-w

How I do it: endoscopic microvascular decompression for hemifacial spasm associated with anterior inferior cerebellar artery–posterior inferior cerebellar artery common trunk

Afsal Sharafudeen, Fuminari Komatsu, Kantenga Dieu Merci Kabulo, Yoko Kato

Neurosurgery

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

Abstract

Background: Multiple vessels from the anterior inferior cerebellar artery–posterior inferior cerebellar artery common trunk (APC) variation of the posterior circulation can cause hemifacial spasm (HFS). Method: Endoscopic microvascular decompression (eMVD) was performed using 0° and 30° endoscopes through a retrosigmoid keyhole. The root exit zone (REZ) was decompressed by transpositioning the offending anterior inferior cerebellar artery (AICA) and posterior inferior cerebellar artery (PICA) arising from the APC under excellent endoscopic view. Conclusion: eMVD is an advanced, minimally invasive and reliable technique to resolve the neurovascular conflict (NVC) in HFS due to offenders from APC.

Original language	English
Article number	49
Journal	Acta Neurochirurgica
Volume	166
Issue number	1
DOIs	https://doi.org/10.1007/s00701-024-05963-w
Publication status	Published - 12-2024

All Science Journal Classification (ASJC) codes

Surgery
Clinical Neurology

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10.1007/s00701-024-05963-w

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title = "How I do it: endoscopic microvascular decompression for hemifacial spasm associated with anterior inferior cerebellar artery–posterior inferior cerebellar artery common trunk",

abstract = "Background: Multiple vessels from the anterior inferior cerebellar artery–posterior inferior cerebellar artery common trunk (APC) variation of the posterior circulation can cause hemifacial spasm (HFS). Method: Endoscopic microvascular decompression (eMVD) was performed using 0° and 30° endoscopes through a retrosigmoid keyhole. The root exit zone (REZ) was decompressed by transpositioning the offending anterior inferior cerebellar artery (AICA) and posterior inferior cerebellar artery (PICA) arising from the APC under excellent endoscopic view. Conclusion: eMVD is an advanced, minimally invasive and reliable technique to resolve the neurovascular conflict (NVC) in HFS due to offenders from APC.",

author = "Afsal Sharafudeen and Fuminari Komatsu and Kabulo, {Kantenga Dieu Merci} and Yoko Kato",

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How I do it: endoscopic microvascular decompression for hemifacial spasm associated with anterior inferior cerebellar artery–posterior inferior cerebellar artery common trunk. / Sharafudeen, Afsal; Komatsu, Fuminari; Kabulo, Kantenga Dieu Merci et al.
In: Acta Neurochirurgica, Vol. 166, No. 1, 49, 12.2024.

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

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T2 - endoscopic microvascular decompression for hemifacial spasm associated with anterior inferior cerebellar artery–posterior inferior cerebellar artery common trunk

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AU - Komatsu, Fuminari

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AU - Kato, Yoko

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N2 - Background: Multiple vessels from the anterior inferior cerebellar artery–posterior inferior cerebellar artery common trunk (APC) variation of the posterior circulation can cause hemifacial spasm (HFS). Method: Endoscopic microvascular decompression (eMVD) was performed using 0° and 30° endoscopes through a retrosigmoid keyhole. The root exit zone (REZ) was decompressed by transpositioning the offending anterior inferior cerebellar artery (AICA) and posterior inferior cerebellar artery (PICA) arising from the APC under excellent endoscopic view. Conclusion: eMVD is an advanced, minimally invasive and reliable technique to resolve the neurovascular conflict (NVC) in HFS due to offenders from APC.

AB - Background: Multiple vessels from the anterior inferior cerebellar artery–posterior inferior cerebellar artery common trunk (APC) variation of the posterior circulation can cause hemifacial spasm (HFS). Method: Endoscopic microvascular decompression (eMVD) was performed using 0° and 30° endoscopes through a retrosigmoid keyhole. The root exit zone (REZ) was decompressed by transpositioning the offending anterior inferior cerebellar artery (AICA) and posterior inferior cerebellar artery (PICA) arising from the APC under excellent endoscopic view. Conclusion: eMVD is an advanced, minimally invasive and reliable technique to resolve the neurovascular conflict (NVC) in HFS due to offenders from APC.

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How I do it: endoscopic microvascular decompression for hemifacial spasm associated with anterior inferior cerebellar artery–posterior inferior cerebellar artery common trunk

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