J Neurol Surg B Skull Base 2025; 86(S 01): S1-S576
DOI: 10.1055/s-0045-1803466
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Microvascular Decompression for Hemifacial Spasm Caused by Dolichoectatic Vertebral Artery

Adel Azghadi
1   University Hospitals Cleveland Medical Center/Case Western Reserve University, Cleveland, Ohio, United States
,
Marte Close-van Keulen
1   University Hospitals Cleveland Medical Center/Case Western Reserve University, Cleveland, Ohio, United States
,
Sepideh Amin-Hanjani
1   University Hospitals Cleveland Medical Center/Case Western Reserve University, Cleveland, Ohio, United States
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Hemifacial spasm secondary to a dolichoectatic vertebral artery is a rare but debilitating condition. Macrovascular displacement of the vessel away from the nerve using a Teflon sling is an effective but not always a feasible method. In this video, we demonstrate simple microvascular decompression of the root entry zone to be a safe and effective technique for treating hemifacial spasm, despite residual compression of the nerve complex more distally in the cisternal segment.



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Artikel online veröffentlicht:
07. Februar 2025

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