Abstract：
OBJECTIVE:Hemifacial spasm (HFS) associated with Chiari I malformation (CIM) is rare. This study aimed to analyze the frequency of HFS associated with CIM in our department and further to investigate the clinical characteristics, treatment strategies, and outcomes of these cases. METHODS:Twenty-eight of 831 patients with HFS who fulfilled the criteria for CIM were analyzed retrospectively. In this series, microvascular decompression (MVD) was performed in 23 patients (82.1%). The remaining 5 patients (17.9%) with obvious symptoms attributable to CIM were treated only with foramen magnum decompression. The mean follow-up period was 41 ± 21.7 months. RESULTS:The frequency of HFS associated with CIM was 3.4%. There were 19 women (67.9%) and 9 men (32.1%) with a mean age of 36.4 ± 7.5 years. The most common symptoms were headache, paraesthesias, and muscular weakness with the exception of typical HFS. Seventeen patients (73.9%) experienced immediate postoperative spasm relief, and 21 patients (91.3%) were spasm relief at discharge after MVD. However, 3 patients (14.3%) experienced delayed recurrence of HFS after successful MVD in the follow-up. After foramen magnum decompression, 3 of 5 patients experienced complete relief of the spasm, and 4 patients showed improvement in the CIM-related symptoms. CONCLUSIONS:The results suggest that MVD can still be an effective treatment for HFS when it coexists with CIM. Furthermore, posterior fossa crowdedness may be a common risk factor for the 2 diseases, and foramen magnum decompression should be considered as the primary procedure in patients with HFS and symptomatic CIM.
journal_name
World Neurosurgjournal_title
World neurosurgeryauthors
Cheng J,Meng J,Lei D,Hui X,Zhang Hdoi
10.1016/j.wneu.2017.08.033subject
Has Abstractpub_date
2017-11-01 00:00:00pages
464-470eissn
1878-8750issn
1878-8769pii
S1878-8750(17)31330-Xjournal_volume
107pub_type
杂志文章abstract：BACKGROUND:Circumferential minimally invasive surgery (cMIS), as a technique for reducing the complications of adult spinal deformity surgery, is receiving considerable attention. Conventional cMIS is performed using intraoperative fluoroscopy. In this work, we describe a new cMIS technique without using C-arm fluorosc...
journal_title：World neurosurgery
pub_type： 杂志文章
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journal_title：World neurosurgery
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journal_title：World neurosurgery
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doi：10.1016/j.wneu.2020.09.098
更新日期：2021-01-01 00:00:00
abstract：:Language localization has been an evolving concept over the past 150 years, with the emergence of several important yet conflicting ideologies. The classical theory, starting from the phrenologic work of Gall to the identification of specific regions of language function by Broca, Wernicke, and others, proposed that d...
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journal_title：World neurosurgery
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pub_type： 临床试验,杂志文章
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更新日期：2020-03-01 00:00:00
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pub_type： 杂志文章
doi：10.1016/j.wneu.2019.10.090
更新日期：2020-02-01 00:00:00
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journal_title：World neurosurgery
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doi：10.1016/j.wneu.2020.05.190
更新日期：2020-09-01 00:00:00
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更新日期：2017-12-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2018.10.084
更新日期：2018-10-24 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2019.07.046
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journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2015.07.071
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pub_type： 杂志文章
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更新日期：2015-09-01 00:00:00
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更新日期：2019-12-01 00:00:00
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pub_type： 杂志文章
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更新日期：2014-09-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章
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更新日期：2019-11-01 00:00:00
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pub_type： 杂志文章
doi：10.1016/j.wneu.2017.11.094
更新日期：2018-03-01 00:00:00
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pub_type： 杂志文章
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更新日期：2018-07-01 00:00:00
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更新日期：2018-11-01 00:00:00
