The Significance of Intraoperative Electromyographic 'Lateral Spread' in Predicting Outcome of Microvascular Decompression for Hemifacial Spasm
| العنوان: | The Significance of Intraoperative Electromyographic 'Lateral Spread' in Predicting Outcome of Microvascular Decompression for Hemifacial Spasm |
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| المؤلفون: | C. M. Harper, Kajetan von Eckardstein, Marina L. Castner, Michael J. Link |
| المصدر: | Journal of Neurological Surgery Part B: Skull Base. 75:198-203 |
| بيانات النشر: | Georg Thieme Verlag KG, 2014. |
| سنة النشر: | 2014 |
| مصطلحات موضوعية: | medicine.medical_specialty, medicine.medical_treatment, Muscle response, Microvascular decompression, Intraoperative electromyography, Article, 03 medical and health sciences, 0302 clinical medicine, medicine, Retrospective analysis, integumentary system, business.industry, medicine.disease, Facial nerve, humanities, Single surgeon, Surgery, body regions, stomatognathic diseases, Facial twitching, 030220 oncology & carcinogenesis, cardiovascular system, Neurology (clinical), business, 030217 neurology & neurosurgery, Hemifacial spasm |
| الوصف: | Objectives During microvascular decompression (MVD) of the facial nerve for hemifacial spasm (HFS), an abnormal muscle response can be recorded upon stimulation of the facial nerve, also known as the lateral spread response. This response may vanish after MVD and has been associated with a successful outcome. The purpose of this study was to determine if resolution of lateral spread correlated with the elimination of HFS in a single surgeon's experience. Design and Setting (1) Retrospective analysis of 38 patients undergoing MVD with intraoperative electromyography for HFS. (2) Meta-analysis of studies from the literature. Main Outcome Measure Presence or absence of HFS and any complications. Results Lateral spread response was seen in 36 patients; 20 patients had full resolution. Of these, 15 patients became HFS free, and 5 five patients still had some degree of HFS. Sixteen patients had a persistent lateral spread response despite a technically successful MVD; 11 of these became spasm free, and 5 still suffered from some degree of facial twitching. Analyzing 16 studies reporting a total of 1301 patients, a significant correlation (p |
| تدمد: | 2193-634X 2193-6331 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::775000fb7a6f6df8755262ace1c6280d https://doi.org/10.1055/s-0034-1368145 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....775000fb7a6f6df8755262ace1c6280d |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 2193634X 21936331 |
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