ArticleNeurosurgical review2016
Postoperative complications of microvascular decompression for hemifacial spasm: lessons from experience of 2040 cases.
Article in Neurosurgical review, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 3 of them syntheses that pooled it.
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Who cites it
32 citing papers in PubMed, 3 syntheses or guidelines pooled it, 84 citations in OpenAlex.
- Meningitis after elective intracranial surgery: a systematic review and meta-analysis of prevalence.European journal of medical research · 2023Pooled it
- The incidence of postoperative cerebrospinal fluid leakage after elective cranial surgery: a systematic review.Neurosurgical review · 2022Pooled it
- Spasm Freedom Following Microvascular Decompression for Hemifacial Spasm: Systematic Review and Meta-Analysis.World neurosurgery · 2020Pooled it
- How I do it: Implant-free transposition technique for microvascular decompression in hemifacial spasm.Acta neurochirurgica · 2026Article
- Pontine Microtubular Signal Intensity in Hemifacial Spasm: Association with Outcome After Microvascular Decompression Surgery.Life (Basel, Switzerland) · 2026Article
- Dura Closure Tactics to Prevent CSF Leakage in Microvascular Decompression Surgery.Life (Basel, Switzerland) · 2025Article
- Outcomes of Microvascular Decompression for Hemifacial Spasm at the Philippine General Hospital.Acta medica Philippina · 2025Article
- Article
- Delayed complete remission of hemifacial spasms following microvascular decompression and the implications for optimal time of revision surgery.Acta neurochirurgica · 2024Article
- Intraoperative Monitoring of the Facial Nerve during Microvascular Decompression for Hemifacial Spasm.Life (Basel, Switzerland) · 2023Review
- Newly identified axon types of the facial nerve unveil supplemental neural pathways in the innervation of the face.Journal of advanced research · 2023Article
- Microvascular decompression for hemifacial spasm: Complications after 292 procedures without neurophysiological monitoring.Surgical neurology international · 2023Article
- Routine postoperative admission to the neurocritical intensive care unit after microvascular decompression: necessary or can it be abandoned?Neurosurgical review · 2022Article
- Autologous bone fragments for skull reconstruction after microvascular decompression.BMC surgery · 2022Article
- Association study of the pneumatization degree of mastoid air cells and postoperative complications after microvascular decompression in hemifacial spasm.Acta neurochirurgica · 2022Article
- Bone Cement Cranioplasty Reduces Cerebrospinal Fluid Leak Rate after Microvascular Decompression: A Single-Institutional Experience.Journal of neurological surgery. Part B, Skull base · 2021Article
- Middle meningeal artery embolization for postoperative supratentorial chronic subdural hematoma occurring after posterior fossa neurosurgery.Journal of cerebrovascular and endovascular neurosurgery · 2021Article
- Facial root entry/exit zone contact in microvascular decompression for hemifacial spasm: a historical control study.Annals of translational medicine · 2021Article
- Risk factors for wound-related complications after microvascular decompression.Neurosurgical review · 2021Observational
- Involvement of the vertebral artery in hemifacial spasm: clinical features and surgical strategy.Scientific reports · 2021Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Microvascular decompression (MVD) is an effective and safe treatment option that offers the prospect of definitive cure for hemifacial spasm (HFS). However, there are potential risks of complications for MVD associated with retromastoid suboccipital craniectomy (RmSOC) and cranial nerves in particular. The purpose of this study was to identify clinical characteristics of possible complications after MVD for HFS and to establish appropriate management concept of these complications. We retrospectively reviewed medical records of 2040 patients who underwent RmSOC with MVD for HFS at Samsung medical center between January 1998 and March 2013. Of 2040 patients, 2027 were followed (99.4%). Of the 2027 patients, 1841 (90.8%) exhibited complete relief or minimal symptoms, and 113 (5.6%) reported improved spasm but had mild remnant symptoms. After operation, the most frequently developed complications were facial nerve palsy (8.19%), followed by middle ear effusion (4.90%) and hearing loss (3.63%). There were two cases of supratentorial subdural hemorrhage, three cases of infarction. MVD was found to be safe and effective treatment for HFS, in consistent with previous reports. Some of the complications such as facial nerve palsy, middle ear effusion, and hearing loss are relatively common. However, they have mild clinical courses that are usually transient.
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