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Acta Neurochirurgica

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01-04-2021 | Craniotomy | How I Do it - Functional Neurosurgery - Movement disorders

How I do it: minimizing muscle damage in microvascular decompression for hemifacial spasm

Author: Toshikazu Kimura

Published in: Acta Neurochirurgica | Issue 4/2021

Abstract

Background

Key hole surgery was recruited for MVD surgery since the maneuver is through the small space between the cerebellum and temporal/occipital bone. However, even small wounds can cause severe postoperative pain if there is significant tissue damage. Attention has been given to the size of the craniotomy rather than to the skin incision or soft tissues such as muscles.

Method

Suboccipital muscle dissection focusing on splitting the splenius capitis muscle was presented. The dura was reapproximated without additional dissection to harvest a fascia graft.

Conclusion

Muscle injury should be minimized to alleviate postoperative pain.

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Title: How I do it: minimizing muscle damage in microvascular decompression for hemifacial spasm
Author: Toshikazu Kimura
Publication date: 01-04-2021
Publisher: Springer Vienna
Keyword: Craniotomy
Published in: Acta Neurochirurgica / Issue 4/2021
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI: https://doi.org/10.1007/s00701-021-04726-1

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

How I do it: minimizing muscle damage in microvascular decompression for hemifacial spasm

Abstract

Background

Method

Conclusion

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Background

Method

Conclusion

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