AI Article Synopsis
- Residual hemifacial spasm (HFS) is a common issue following microvascular decompression (MVD), and the reasons behind its persistence are debated.
- The study analyzed 212 patients to identify factors linked to ongoing HFS, suggesting that aspects like indentation of the root exit zone, the duration of the illness before surgery, and the patient’s psychological condition may influence outcomes.
- The authors recommend early MVD to reduce residual HFS and emphasize the importance of assessing patients' psychological state prior to surgery.
Article Abstract
Residual hemifacial spasm (HFS) after microvascular decompression (MVD) is common, and the factors associated with residual HFS are still controversial. In the present study, we analyzed the outcome of 212 patients with hemifacial spasm after a single microvascular decompression and evaluated the prognostic factors involved in residual hemifacial spasm. Based on our study, possible prognostic factors included indentation of the root exit zone (REZ), preoperative illness duration, and preoperative psychological state. We suggest that MVD should be performed as early as possible for it may decrease the rate of residual HFS. Preoperative assessment of psychological state in HFS patients is a timely intervention that should be implemented to minimize the residual HFS.
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| http://dx.doi.org/10.1007/s10143-015-0622-6 | DOI Listing |
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