Evidence map›Paper›PMID 40406770›Full record

ReviewCureus2025

Lateral Spread Response in Hemifacial Spasm: Physiological Mechanisms, Intraoperative Utility, and Prognostic Significance.

Anshika Baranwal, Mahesh Arjundan Gadhvi, Mohit Agrawal, Shival Srivastav, Abhinav Dixit

Abstract readReview
In one paragraph

Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Anshika BaranwalPhysiology, All India Institute of Medical Sciences, Jodhpur, Jodhpur, IND.
Mahesh Arjundan GadhviPhysiology, All India Institute of Medical Sciences, Jodhpur, Jodhpur, IND.
Mohit AgrawalNeurosurgery, All India Institute of Medical Sciences, Jodhpur, Jodhpur, IND.
Shival SrivastavPhysiology, All India Institute of Medical Sciences, Jodhpur, Jodhpur, IND.
Abhinav DixitPhysiology, All India Institute of Medical Sciences, Jodhpur, Jodhpur, IND.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Facial nerve compression by blood vessels near the brainstem can cause hemifacial spasm (HFS). There are two treatment options for this condition: botulinum toxin and surgical microvascular decompression (MVD). During microvascular decompression, the facial nerve is separated from the offending vessel, and intraoperative neuromonitoring in these patients demonstrates abnormal muscle response (AMR), which is known as the lateral spread response (LSR). Though the disappearance of lateral spread response is a hallmark of successful microvascular decompression, little information is available about its physiological origin and diagnostic utility. In the present review, we have attempted to address the aforementioned caveats about lateral spread response with an emphasis on the intraoperative utility and diagnostic role of this electrophysiological phenomenon.

Indexed as

abnormal muscle responsehemifacial spasmsintraoperative neuromonitoring (ionm)lateral spread responsemicrovascular decompression (mvd)

Identifiers

PMID40406770
PMCPMC12097512

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.