Abstract | OBJECTIVE: METHODS: Clinical data were collected from 362 patients with HFS treated with MVD between January 2013 and January 2014. Patients were divided into five groups based on the offending vessel: A (anterior inferior cerebellar artery [AICA] compression), B (posterior inferior cerebellar artery [ PICA] compression), C (AICA plus PICA compression), D (vertebral artery [VA] compression), and E (VA plus small vessel compression). RESULTS: The most common offending vessel was the AICA (51.38%). The most common compression site was the root exit zone. During the follow-up period, the effective rate was 95.48% in group A, 92.15% in group B, 93.10% in group C, 90.14% in group D, and 91.45% in group E. Twenty-nine patients exhibited delayed facial palsy, the most common complication. CONCLUSION: No statistically significant differences were found in long-term outcomes or MVD-related complications among the study groups. The type of offending vessel was not a prognostic factor for MVD in patients with HFS.
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Authors | Hua Zhao, Yinda Tang, Xin Zhang, Jin Zhu, Yan Yuan, Ping Zhou, Shiting Li |
Journal | Journal of neurological surgery. Part A, Central European neurosurgery
(J Neurol Surg A Cent Eur Neurosurg)
Vol. 80
Issue 4
Pg. 285-290
(Jul 2019)
ISSN: 2193-6323 [Electronic] Germany |
PMID | 31018226
(Publication Type: Journal Article)
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Copyright | Georg Thieme Verlag KG Stuttgart · New York. |
Topics |
- Adult
- Aged
- Basilar Artery
- Facial Paralysis
(epidemiology)
- Female
- Hemifacial Spasm
(diagnosis, etiology, surgery)
- Humans
- Male
- Microvascular Decompression Surgery
(adverse effects)
- Middle Aged
- Postoperative Complications
(epidemiology)
- Retrospective Studies
- Treatment Outcome
- Vertebral Artery
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