4 results match your criteria: "Indonesia National Brain Center Hospital[Affiliation]"
Intraoperative monitoring and early recognition of facial nerve root in vestibular schwannoma surgery.
Neurosurg Rev
October 2024
Department of Neurosurgery, Indonesia National Brain Center Hospital, Special Capital Region of Jakarta, East Jakarta, Indonesia.
Article Synopsis
- This study investigates the impact of intraoperative monitoring (IOM) on preserving facial nerve function during surgery for vestibular schwannomas.
- A total of 96 patients were analyzed, showing that those with IOM had better long-term outcomes compared to those without, despite initially worse results immediately after surgery.
- The findings suggest that recognizing the root exit zone (REZ) early during the procedure enhances the chances of achieving satisfactory facial nerve function outcomes.
Anatomical considerations and surgical manipulation of the rhomboid lip in microvascular decompression for hemifacial spasm.
Acta Neurochir (Wien)
June 2024
Division of Neurosurgery, Duke University Medical Center, Durham, NC, USA.
Article Synopsis
- In microvascular decompression (MVD) surgeries for hemifacial spasm (HFS), surgeons need to identify and understand the rhomboid lip, which can obscure the facial nerve's root exit zone, to enhance surgical safety and effectiveness.
- A study analyzed 111 patients, finding that 33% had rhomboid lips, with notable differences in size and structure between the membranous and cystic types; preoperative MRI was only effective in identifying these lips in 21% of cases.
- After surgery, 97% of patients experienced immediate relief from spasms, though one case resulted in a lower cranial nerve deficit due to dissection, highlighting the need for careful anatomical understanding to minimize complications.
Indication for a skull base approach in microvascular decompression for hemifacial spasm.
Acta Neurochir (Wien)
December 2022
Division of Neurosurgery, Duke University Medical Center, Durham, NC, USA.
Background: A thorough observation of the root exit zone (REZ) and secure transposition of the offending arteries is crucial for a successful microvascular decompression (MVD) for hemifacial spasm (HFS). Decompression procedures are not always feasible in a narrow operative field through a retrosigmoid approach. In such instances, extending the craniectomy laterally is useful in accomplishing the procedure safely.
View Article and Find Full Text PDFBridge technique for hemifacial spasm with vertebral artery involvement.
Acta Neurochir (Wien)
December 2021
Division of Neurosurgery, Duke University Medical Center, Durham, NC, USA.
Background: To assess efficacy and safety of a newly developed decompression technique in microvascular decompression for hemifacial spasm (HFS) with vertebral artery (VA) involvement.
Methods: A rigid Teflon (Bard PTFE Felt Pledget, USA) with the ends placed between the lower pons and the flocculus creates a free space over the root exit zone (REZ) of the facial nerve (bridge technique). The bridge technique and the conventional sling technique for VA-related neurovascular compression were compared retrospectively in 60 patients.