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Updated: Jun 4, 2026

Microvascular Decompression: Salient Surgical Principles and Technical Nuances
Published on: July 5, 2011
Medical waiver for flying after microvascular decompression for hemifacial spasm
Ori Wand1, Alon Grossman, Amit Assa
1Israeli Air Force Aeromedical Center, Tel Hashomer, Israel. oriwand@hotmail.com
Background:
Microvascular decompression has become the treatment of choice for hemifacial spasm. Post-surgical symptoms of vestibular dysfunction may appear, but are mostly transient. The unique occupational demands of military aviators necessitate complete otoneurological evaluation after vestibular insults to allow safe return to flying duties.
Case Report:
We present a case of a military jet-fighter pilot who developed transient vertigo and disequilibrium after microvascular decompression for hemifacial spasm. Resolution of symptoms and complete recovery as documented by vestibular bedside and laboratory tests allowed us to grant the pilot full solo flying privileges.
