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01-07-2015 | Original Article

Residual hemifacial spasm after microvascular decompression: prognostic factors with emphasis on preoperative psychological state

Authors: Yichao Jin, Changyi Zhao, Shanshan Su, Xiaohua Zhang, Yongming Qiu, Jiyao Jiang

Published in: Neurosurgical Review | Issue 3/2015

Abstract

Residual hemifacial spasm (HFS) after microvascular decompression (MVD) is common, and the factors associated with residual HFS are still controversial. In the present study, we analyzed the outcome of 212 patients with hemifacial spasm after a single microvascular decompression and evaluated the prognostic factors involved in residual hemifacial spasm. Based on our study, possible prognostic factors included indentation of the root exit zone (REZ), preoperative illness duration, and preoperative psychological state. We suggest that MVD should be performed as early as possible for it may decrease the rate of residual HFS. Preoperative assessment of psychological state in HFS patients is a timely intervention that should be implemented to minimize the residual HFS.

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Title: Residual hemifacial spasm after microvascular decompression: prognostic factors with emphasis on preoperative psychological state
Authors: Yichao Jin
Changyi Zhao
Shanshan Su
Xiaohua Zhang
Yongming Qiu
Jiyao Jiang
Publication date: 01-07-2015
Publisher: Springer Berlin Heidelberg
Published in: Neurosurgical Review / Issue 3/2015
Print ISSN: 0344-5607
Electronic ISSN: 1437-2320
DOI: https://doi.org/10.1007/s10143-015-0622-6

At a glance: The STEP trials

Springer Medicine

Residual hemifacial spasm after microvascular decompression: prognostic factors with emphasis on preoperative psychological state

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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