Turkish Neurosurgery 1990 , Vol 1 , Num 4
MICROVASCULAR DECOMPRESSION FOR TREATMENT OF HEMIFACIAL SPASM Operative techniques and results in 40 patients
Kemal HEPGUL1, Nigel RAWLINSON2, Hugh. B. COAKHAM2
1Istanbul Medical Faculty. Department of Neurosurgery. Trkiye
2Department of Neurosurgery. Frenchay Hospital. Bristol. England
The clinical and operative findings are reviewed in 40 patients with hemifacial spasm. Vascular cross-compression of the facial nerve adjacent to the brain stem was noted in 39 patients. In 38 the abnormality was usually by an arterial loop. In one patient. osseus contact was discovered and drilled away. Mortality was zero and. morbidity was minimal. Complete cure of spasm was achieved in 36 cases (90%) and a further 2 patients improved. Keywords : Facial nerve; Hemifacial spasma; Microvascular decompression; Roodexit zone
Corresponding author : Kemal Hepgul