Results of reoperation for failed microvascular decompression.

Abstract:

:Among 64 patients with hemifacial spasm (HFS) and 60 with trigeminal neuralgia (TN) treated by microvascular decompression (MVD), repeated MVD performed on 3 cases with HFS resulted in the absence of spasm in all cases. In 7 cases with TN, this technique resulted in complete remission in 2, recurrence in 3, and no pain relief in 2 cases. MVD was more effective on HFS than on TN in repeated procedures as well as for initial treatment. The cause of recurrence of HFS was attributed to the inadequate cushion effect of muscle as a prosthesis, while that for TN was suspected to be related more to post-operative fibrotic adhesions formed around the fifth nerve.

journal_name

Acta Neurochir (Wien)

journal_title

Acta neurochirurgica

authors

Yamaki T,Hashi K,Niwa J,Tanabe S,Nakagawa T,Nakamura T,Uede T,Tsuruno T

doi

10.1007/BF01400583

subject

Has Abstract

pub_date

1992-01-01 00:00:00

pages

1-7

issue

1-2

eissn

0001-6268

issn

0942-0940

journal_volume

115

pub_type

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