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

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
› Author Affiliations
› Further Information
Also available atMedOne
 
 

    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.


     

    No conflict of interest has been declared by the author(s).

    Publication History

    Article published online:
    07 February 2025

    © 2025. Thieme. All rights reserved.

    Georg Thieme Verlag KG
    Oswald-Hesse-Straße 50, 70469 Stuttgart, Germany