J Neurol Surg B Skull Base 2025; 86(S 01): S1-S576
DOI: 10.1055/s-0045-1803466
Presentation Abstracts
Podium Presentations
Video Presentations

Microvascular Decompression for Hemifacial Spasm Caused by Dolichoectatic Vertebral Artery

Authors

  • 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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Publication History

Article published online:
07 February 2025

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