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[Surgically treated paroxysmal hemifacial spasm].

H Majchrzak1, P Ladziński, A Turczyn

  • 1Oddziału Neurochirurgii Szpitala Górniczego, Sosnowcu.

Neurologia I Neurochirurgia Polska
|July 1, 1991
PubMed
Summary

Surgical treatment for paroxysmal hemifacial spasm yielded positive outcomes in two patients. Procedures involved separating the anterior inferior cerebellar artery or dissecting the facial nerve to relieve compression.

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Area of Science:

  • Neurosurgery
  • Neurology

Background:

  • Paroxysmal hemifacial spasm is a neurological disorder characterized by involuntary facial muscle contractions.
  • Surgical intervention is considered for patients unresponsive to conservative treatments.

Observation:

  • Two patients with paroxysmal hemifacial spasm underwent surgical treatment.
  • Techniques included vascular decompression using lyophilized dura to separate offending vessels from cranial nerves.

Findings:

  • One patient had the anterior inferior cerebellar artery separated from the brain stem and facial nerve origin.
  • The second patient underwent dissection of the entire facial nerve with dural insertion between the vestibular artery and the nerve.

Implications:

  • Surgical decompression appears effective for managing paroxysmal hemifacial spasm.
  • These techniques may offer a viable treatment option for refractory cases, improving patient quality of life.

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