Article
Surgery
Wenxiang Zhong, Tingting Ying, Shiting Li, Jin Zhu, Yinda Tang, Yan Yuan
Summary: The study demonstrated that compound AMR is more suitable than single AMR in patients undergoing MVD for HFS, showing higher sensitivity and specificity in resolving hemifacial spasm.
JOURNAL OF CRANIOFACIAL SURGERY
(2022)
Article
Clinical Neurology
Yoko Nakayama, Tadashi Kawaguchi, Masafumi Fukuda, Makoto Oishi
Summary: The study found that preoperative botulinum toxin injections should be less than 4 times to ensure effective AMR monitoring. MVD using AMR monitoring is useful for patients with HFS who were previously treated by BTX as well as those who were not treated.
ACTA NEUROCHIRURGICA
(2021)
Article
Clinical Neurology
Yoshifumi Mizobuchi, Shinji Nagahiro, Akinori Kondo, Kazunori Arita, Isao Date, Yukihiko Fujii, Takamitsu Fujimaki, Ryosuke Hanaya, Mitsuhiro Hasegawa, Toru Hatayama, Kazuhiro Hongo, Tooru Inoue, Hidetoshi Kasuya, Masahito Kobayashi, Eiji Kohmura, Toshio Matsushima, Jun Masuoka, Akio Morita, Shigeru Munemoto, Shigeru Nishizawa, Yoshihiro Okayama, Kimitoshi Sato, Taku Shigeno, Hiroshi Shimano, Hideo Takeshima, Hideki Tanabe, Iwao Yamakami
Summary: This study found that under expert guidance and intraoperative neuromonitoring, the long-term curative effect rate of MVD for HFS is high, while complications are uncommon and usually transient. MVD is an effective and safe treatment for patients with HFS, including elderly patients.
Article
Clinical Neurology
Minsoo Kim, Sang-Ku Park, Seunghoon Lee, Jeong-A Lee, Kwan Park
Summary: This study analyzed LSR patterns in the orbicularis oris and mentalis muscles during MVD for HFS patients and their relationships with clinical outcomes. The results showed that the disappearance of LSR in the mentalis muscle was correlated with postoperative outcomes, while LSR in the oris muscle was not.
CLINICAL NEUROPHYSIOLOGY
(2021)
Article
Medicine, Research & Experimental
Hao Tian Jiang, Pan Wang, De Wei Zhou, Long Wei Zeng, Bo Lin, Nan Wu
Summary: This study reviewed 5 cases of hemifacial spasm (HFS) treated with fully endoscopic microvascular decompression (MVD). The results showed that fully endoscopic MVD effectively relieved the symptoms of facial involuntary twitching and controlled the occurrence of complications. Endoscopy played an important role in identifying the offending blood vessels, which is significant in improving surgical outcomes and safety.
EXPERIMENTAL AND THERAPEUTIC MEDICINE
(2022)
Article
Clinical Neurology
Minsoo Kim, Kyung Rae Cho, Sang-Ku Park, Chiman Jeon, Kwan Park
Summary: LSR at 1 month postoperatively showed prognostic value in predicting 1-year postoperative outcomes and was useful for identifying patients with a high risk of unfavorable outcomes.
Review
Biology
Chiman Jeon, Na Young Jung, Minsoo Kim, Kwan Park
Summary: This review article discusses the clinical significance of intraoperative neurophysiological monitoring (IONM) in microvascular decompression (MVD) for hemifacial spasm (HFS). It provides recommendations for monitoring protocols and considers the interpretation of results. The lateral spread response (LSR) is an important monitoring parameter that helps identify the responsible blood vessel and confirm thorough decompression from the facial nerve. The disappearance of the LSR during surgery is associated with favorable clinical outcomes. Standard and revised monitoring protocols and the confirmation of LSR persistence and disappearance are discussed.
Article
Biology
Jae Sung Park, Kwan Park
Summary: Hemifacial spasm is a cranial neuropathy caused by compression on the facial-vestibulocochlear nerve complex. Microvascular decompression is an effective treatment option with high success rate and low recurrence and complication rates. Understanding different types of compressive patterns can improve surgical outcomes.
Article
Clinical Neurology
Chongjing Sun, Jin Xu, Wei Zhu, Xiaobiao Zhang, Puyuan Zhao, Yu Zhang
Summary: The appearance and observation of pre-decompression instability of abnormal muscle response (AMR) monitoring have a positive impact on the surgical outcomes of microvascular decompression (MVD) surgeries, increasing the electrophysiological relief rate, reducing the incidence of neurological dysfunction, and possibly elevating the relief rate.
JOURNAL OF CLINICAL NEUROSCIENCE
(2022)
Article
Clinical Neurology
Sachiko Hirata, Masahito Kobayashi, Masaki Ujihara, Kazuhiko Takabatake, Takamitsu Fujimaki
Summary: A retrospective study on 109 patients who underwent endoscopically assisted microvascular decompression revealed that endoscopy was useful in treating trigeminal neuralgia and hemifacial spasm, especially for patients with anatomically complicated vessels. This study provides important evidence on the role of preoperative MRI in guiding endoscopy.
ACTA NEUROCHIRURGICA
(2023)
Article
Medicine, General & Internal
Eun Kyung Lee, Seungwon Lee, Ji-Hye Kwon, Seung Hoon Lee, Soo Jung Park, Yunghun Kim, RyungA Kang, Ji Seon Jeong, Jeong Jin Lee
Summary: This study evaluated the efficacy of scalp nerve block in patients with hemifacial spasm undergoing microvascular decompression. The results showed that a scalp nerve block may reduce postoperative pain in the early postoperative period. However, further research is needed to confirm the efficacy of scalp block in a larger study.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Clinical Neurology
Jiayu Liu, Fang Li, Guangyong Wu, Bo Liu, Jingru Zhou, Cungang Fan, Feng Jiao, Dongliang Wang, Gang Wu, Haidong Song, Ruen Liu
Summary: This study retrospectively analyzed the clinical data of 176 patients with persistent or recurrent HFS, finding that missing compression zones were the main reason for symptom persistence or recurrence after MVD treatment. Proper decompression in the surgical area can effectively prevent recurrence.
FRONTIERS IN NEUROLOGY
(2021)
Article
Medicine, General & Internal
Fan Wu, Pingcun Wei, Gang Wang, Changsong Wu, Yunlong Hu, Jinwang Hu
Summary: This study found that preoperative anxiety and depression status are closely associated with the severity of HFS and may also impact the outcomes of MVD surgery in adolescent patients.
Article
Clinical Neurology
Kenichiro Iwami, Tadashi Watanabe, Mao Yokota, Masato Hara, Koji Osuka, Shigeru Miyachi
Summary: The study presented a series of cases using underwater microvascular decompression for hemifacial spasm and evaluated its feasibility and safety. The results showed that underwater MVD is a safe and effective option for treating HFS, but did not demonstrate clear advantages over conventional endoscopic MVD in protecting the eighth cranial nerve.
ACTA NEUROCHIRURGICA
(2021)
Article
Surgery
Yufei Liu, Lingyu Liu, Jing Wang, Shunnan Ge, Yan Qu
Summary: The authors report a case of abnormal muscular response during microvascular decompression. The morphology and number of abnormal muscular responses were influenced by different stimulation and recording sites. After the surgery, the abnormal muscular response disappeared and the hemifacial spasm was completely relieved.
JOURNAL OF CRANIOFACIAL SURGERY
(2022)
Review
Neurosciences
Chuyi Huang, Heling Chu, Yan Zhang, Xiaoping Wang
FRONTIERS IN NEUROSCIENCE
(2018)
Article
Clinical Neurology
Chuyi Huang, Heling Chu, Yu Ma, Zaiying Zhou, Chuanfu Dai, Xiaowen Huang, Liang Fang, Qiang Ao, Dongya Huang
Article
Clinical Neurology
Heling Chu, Chuyi Huang, Jing Dong, Xiaobo Yang, Jun Xiang, Qiang Dong, Yuping Tang
TRANSLATIONAL STROKE RESEARCH
(2019)
Article
Critical Care Medicine
Heling Chu, Chuyi Huang, Jing Dong, Xiaobo Yang, Jun Xiang, Yiting Mao, Qiang Dong, Yuping Tang
NEUROCRITICAL CARE
(2019)
Article
Neurosciences
Heling Chu, Zidan Gao, Chuyi Huang, Jing Dong, Yuping Tang, Qiang Dong
NEUROSCIENCE BULLETIN
(2020)
Article
Clinical Neurology
Kaimin Xiao, Heling Chu, Hongmei Chen, Youan Zhong, Liang Zhong, Yuping Tang
BRITISH JOURNAL OF NEUROSURGERY
(2020)
Review
Geriatrics & Gerontology
Yifan Wang, Chuyi Huang, Qihao Guo, Heling Chu
Summary: Aquaporin-4 (AQP4) is the most abundantly expressed aquaporin in the central nervous system (CNS) and plays a crucial role in cognitive disorders as a part of the glymphatic system.
Article
Clinical Neurology
Kaimin Xiao, Heling Chu, Guobin Li, Hongmei Chen, Youan Zhong, Qiang Dong, Yuping Tang
Summary: In patients with midline shift and supratentorial spontaneous intracerebral hemorrhage (sICH), minimally invasive surgery (MIS) can reduce early-stage midline shift, improve consciousness state, and reduce short-term mortality.
WORLD NEUROSURGERY
(2022)
Article
Clinical Neurology
Heling Chu, Chuyi Huang, Yuping Tang, Qiang Dong, Qihao Guo
Summary: This study found that stress-induced hyperglycemia ratio (SHR) can serve as a reliable predictor for early hematoma expansion and poor outcomes in patients with intracerebral hemorrhage (ICH).
THERAPEUTIC ADVANCES IN NEUROLOGICAL DISORDERS
(2022)