AI Article Synopsis
- Microvascular decompression (MVD) is a surgical treatment for Hemifacial Spasm caused by vascular loops pressing on the facial nerve, and it can also be applied to relieve glossopharyngeal and trigeminal neuralgia.
- While strokes are a rare complication during MVD due to the separation of vessels from nerves, using advanced techniques like augmented visualization and in vivo fluorescence can enhance safety and precision during the surgery.
- The report introduces a novel approach to MVD for Hemifacial Spasm, highlighting the use of new technologies for better outcomes in patients.
Article Abstract
: Microvascular decompression (MVD) is curative treatment for primary Hemifacial Spasm, in cases where a vascular loop impinges on the facial nerve. Surgical techniques for MVD may be extended to MVD of the glossopharyngeal nerve and trigeminal nerve in cases of primary glossopharyngeal neuralgia and trigeminal neuralgia. Stroke is a rare complication of these procedures that may occur during the separation of a vascular loop from nervous tissue, particularly when materials such as Teflon are used to separate the structures. Use of an augmented visualization surgical microscope and in vivo fluorescence provides the opportunity to perform an intraoperative "angiogram" to confirm vascular integrity after decompression and enhanced visualization of complex neurovascular anatomy. We report the first description of this novel approach to microvascular decompression for Hemifacial Spasm.SDC video link: http://links.lww.com/MAO/A998.
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