ArticleScientific reports2021
Involvement of the vertebral artery in hemifacial spasm: clinical features and surgical strategy.
Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.
- The outcome of microvascular decompression for hemifacial spasm: a systematic review and meta-analysis.Neurosurgical review · 2022Pooled it
- A nomogram based on clinical multivariate factors predicts delayed cure after microvascular decompression for hemifacial spasm.Neurosurgical review · 2024Trial
- Article
- Treatment of Hemifacial Spasm With Endovascular Stenting of the Vertebral Artery.Neurosurgery practice · 2026Article
- Double-faced microprobe for vessel transposition in microvascular decompression: technical note.Acta neurochirurgica · 2026Article
- Factors Affecting Surgical Complexity of Microvascular Decompression for Hemifacial Spasm.Neurologia medico-chirurgica · 2025Article
- Compression-specific treatment strategies for vertebroarterial-involved hemifacial spasm: A single-centre retrospective analysis of surgical techniques.Neurosurgical review · 2025Article
- Primary hemifacial spasm: anatomical insights.Acta neurologica Belgica · 2025Review
- Knowledge, Attitudes, and Practices Toward Microvascular Decompression for Hemifacial Spasm Among Neurosurgeons: A Multicenter Cross-Sectional Study.Journal of multidisciplinary healthcare · 2025Article
- Bridge-layered decompression technique for vertebral artery-involved hemifacial spasm: technical note.BMC surgery · 2024Article
- Endoscopic assisted microvascular decompression for vertebral artery - Associated hemifacial spasm - A case report.Annals of medicine and surgery (2012) · 2022Article
- The Efficacy and Safety of <2 cm Micro-Keyhole Microvascular Decompression for Hemifacial Spasm.Frontiers in surgery · 2021Article
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Authors and funding
6 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The vertebral artery (VA)-involved hemifacial spasm (HFS) has distinctive clinical features and performing microvascular decompression (MVD) is challenging. We described the clinical presentations of VA-involved HFS and the outcomes of MVD using the interposition method. Between January 2008 and March 2015, MVD was performed in 271 patients with VA-involved HFS. Demographic characteristics, preoperative severity, intraoperative findings, spasm-free outcome, and complications were retrospectively evaluated. A control group of 1500 consecutive patients with non-VA-involved HFS was enrolled. VA-involved HFS was associated with older age (p < 0.001), less female predominance (p < 0.001), more left-sided predominance (p < 0.001), and rapid symptom progression before MVD (p < 0.001). The Teflon Fulcrum method allowed intraoperative identification of the neurovascular compression site in 92.6% of the cases, and showed more severe indentation on the facial nerve (p < 0.001). Changes in the brainstem auditory evoked potentials during MVD (p < 0.001) and postoperative non-serviceable hearing loss (p < 0.001) were more frequent in patients with VA-involved than in non-VA-involved HFS. The spasm-free outcome and overall complication rates after MVD were not significantly different between the groups. VA-involved HFS has distinctive clinical features and poses a major surgical challenge for MVD success. The interposition method is a feasible surgical strategy in VA-involved HFS.
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