Summary
An outline of the clinical syndromes of hemifacial spasm (HFS), the history of surgical treatments for this condition and a detailed description of the authors’ preferred form of operative treatment is provided. Operative findings, results, and complications in HFS patients treated at the University of Pittsburgh, Presbyterian-University Hospital during the period between 1972 and 1993 is reviewed. It is concluded at this time that a retromastoid craniotomy and microvascular decompression (MVD), in experienced hands, is a safe and highly effective procedure to treat both forms of HFS.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Apfelbaum RI (1988) Surgical management of disorders of the lower cranial nerves. In: Schmidek HH, Sweet WH (eds) Operative neurosurgical techniques. Indications, methods, and results, vol. 2, Grune and Stratton, Orlando Florida, pp 1097–1109
Barker FG, Jannetta PJ, Bissonette DJ, Shields PT, Larkins MV, Jho HD (1995) Microvascular decompression for hemifacial spasm. J Neurosurg 82: 201–210
Campbell E, Keedy C (1947) HFS: A note on the etiology in two cases. J Neurosurg 4: 342–347
Digre K, Corbett JJ (1988) Hemifacial spasm: Differential diagnosis mechanism and treatment. In: Tolosa E (ed) Advances in neurology, vol. 39, Facial dyskinesia. Raven Press, New York, pp 151–176
Esslen E (1957) Der Spasmus facialis eine Parabiosserscheinung: Elektrophysiologische Untersuchungen zum Entstehungsmechanismus des Facialisspasmus. Dtsch Z Nervenheil 176: 149–172
Fisch U, Esslen E (1972) The surgical treatment of facial hyperkinesia. Arch Otolaryngol 95: 400–405
Gardner WJ (1962) Concerning the mechanism of trigeminal neuralgia and hemifacial spasm. J Neurosurg 19: 947–957
Gardner WJ, Sava GA (1962) Hemifacial spasm–A reversible pathophysiologic state. J Neurosurg 19: 240–247
Gowers R (1988) Manual of diseases of the nervous system. JA Churchill, London
Grundy BL (1983) Intraoperative monitoring of sensory evoked potentials. Anesthesiology 58: 72–87
Haines SJ, Torres F (1991) Intraoperative monitoring of the facial nerve during decompressive surgery for hemifacial spasm. J Neurosurg 74: 254–257
Jannetta PJ (1970) Microsurgical exploration and decompression of the facial nerve in hemifacial spasm. Curr Top Surg Res 2: 217–220
Jannetta PJ (1977) Observations on the etiology of trigeminal neuralgia, hemifacial spasm, acoustic nerve dysfunction, and glossopharyngeal neuralgia. Definitive microsurgical treatment and results in 117 patients. Acta Neurochir (Wien) 20: 145–154
Jannetta PJ (1980) Neurovascular compression in cranial nerve and systemic disease. Ann Surg 192: 518–525
Jannetta PJ (1981) Hemifacial spasm. In: Samii M, Jannetta PJ (eds) The cranial nerves. Springer, Heidelberg, pp 484–493
Jannetta PJ (1984) Hemifacial spasm caused by a venule: Case report. Neurosurgery 14: 89–92
Jannetta PJ (1985) Neurovascular contact in hemifacial spasm. In: Portmann M (ed) Facial nerve. Masson, Paris, pp 45–48
Jannetta PJ (1987) Hemifacial spasm: Etiology and treatment. In: English G (ed) Otolaryngology, vol. 1, LL Lippincott, Philadelphia, pp 1–10
Jannetta PJ (1990) Cranial rhizopathies. In: Youmans JR (ed) Neurological surgery. W. B. Saunders, Philadelphia, pp 4169–4182
Jannetta PJ (1992) Microvascular decompression of the facial nerve for hemifacial spasm. In: Wilson CB (ed) Neurosurgical procedures: personal approaches to classic operations. Williams and Wilkins, Baltimore, pp 154–162
Jannetta PJ, Hackett E, Ruby JR (1970) Electromyographic and electronmicroscopic correlates in hemifacial spasm treated by microsurgical relief of neurovascular compression. Surg Forum 21: 449–451
Jannetta PJ, Abbasy M, Maroon JC, Ramos FM, Albin MS (1977) Etiology and definite microsurgical treatment of hemifacial spasm: Operative technique and results in 47 patients. J Neurosurg 47: 321–328
Kim P, Fukushima T (1984) Observations on synkinesis in patients with hemifacial spasm. J Neurosurg 60: 821–827
Laine E, Nayrac C (1948) Hemispasme facial gueri par intervention sur la fosse posterieure. Rev Neurol 80: 38–40
Malis LI (1967) Petrous ridge compression and its surgical correction. J Neurosurg 26: 163–167
Moller AR (1988) Evoked potentials in intraoperative monitoring. Williams and Wilkins, Baltimore
Moller AR (1995) Intraoperative neurophysiologic monitoring. Gordon and Breach, Langhorne Pennsylvania (In press)
Moller AR, Jannetta PJ (1983) Monitoring auditory functions during cranial nerve microvascular decompression operations by direct recording from the eighth nerve. J Neurosurg 59: 493–499
Moller AR, Jannetta PJ (1984) On the origin of synkinesis in hemifacial spasm: Results of intracranial recordings. J Neurosurg 61: 569–576
Moller AR, Jannetta PJ (1985) Hemifacial spasm: Results of electrophysiologic recording during microvascular decompression operations. Neurology 35: 969–974
Moller AR, Jannetta PJ (1985) Microvascular decompression in hemifacial spasm: Intraoperative electrophysiological observations. Neurosurgery 16: 612–618
Moller AR, Jannetta PJ (1985) Synkinesis in hemifacial spasm: Results of recording intracranially from the facial nerve. Experientia 41: 415–417
Moller AR, Jannetta PJ (1987) Monitoring facial EMG responses during microvascular decompression operations for hemifacial spasm. J Neurosurg 66: 681–685
Moller MB, Moller AR (1985) Audiometric abnormalities in hemifacial spasm. Audiology 24: 396–405
Moller AR, Moller MB (1989) Does intraoperative monitoring of auditory evoked potentials reduce incidence of hearing loss as a complication of microvascular decompression of cranial nerves? Neurosurgery 24: 257–263
Revilla AG (1947) Neurinomas of cerebellopontine recess. A clinical study of one hundred and sixty cases including operative mortality and end results. Johns Hopkins Hosp Bull 80: 254–296
Revilla AG (1948) Differential diagnosis of tumors at the cerebellopontine recess. Johns Hopkins Hosp Bull 33: 187–212
Schultze F (1875) Linksseitiger Facialiskrampf in Folge eines Aneurysma der Arteria vertebralis sinistra. Virchows Arch 65: 385–391
Wilkins RH (1991) Hemifacial spasm: A review. Surg Neurol 36: 251–277
Wilkins RH (1993) Cranial nerve dysfunction syndromes: Evidence for microvascular compression. In: Barrow DL (ed), Neurosurgical Topics Book 13, Surgery of Cranial Nerves of the Posterior Fossa, Chapter 4. American Association of Neurological Surgeons, Park Ridge, Illinois, pp 155–163
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1997 Springer-Verlag/Wien
About this chapter
Cite this chapter
Rosseau, G.L., Jannetta, P.J. (1997). Surgical treatment of hemifacial spasm by microvascular decompression. In: Sindou, M., Keravel, Y., Møller, A.R. (eds) Hemifacial Spasm. Springer, Vienna. https://doi.org/10.1007/978-3-7091-6829-5_10
Download citation
DOI: https://doi.org/10.1007/978-3-7091-6829-5_10
Publisher Name: Springer, Vienna
Print ISBN: 978-3-7091-7416-6
Online ISBN: 978-3-7091-6829-5
eBook Packages: Springer Book Archive