SynthesisNeurosurgical review2025
Glue-transposition technique for hemifacial spasm involving vertebrobasilar dolichoectasia: a comparative study and literature review.
Synthesis in Neurosurgical review, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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.
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.
Who cites it
1 citing paper in PubMed.
- A rare anatomical variant of the relationship between a branch of the superior cerebellar artery and the rootlets of the trochlear nerve: illustrative case.Journal of neurosurgery. Case lessons · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Funding
Abstract
Vertebrobasilar dolichoectasia (VBD) is relatively common among patients with hemifacial spasm (HFS). Vertebral artery (VA)-associated HFS accounts for 10-30% of cases. In microvascular decompression (MVD) for these patients, mobilization of the VA and other offending vessels is challenging, often limiting exposure of the root exit zone (REZ). Glue-transposition has emerged as the primary technique to address this issue. This study aims to evaluate the outcomes and complications associated with glue-transposition through a cohort study and a comprehensive literature review. A retrospective analysis of 164 patients who underwent MVD at Shenzhen Second People's Hospital was conducted, categorizing them into VBD (14 patients) and non-VBD (150 patients) groups. Additionally, a systematic literature search was performed in PubMed up to June 2024, including clinical studies that applied the glue-transposition technique in MVD. The remission rate, complications, and surgical techniques were analyzed in detail. In our cohort, patients in the VBD group had a higher mean age and a higher prevalence of hypertension. Glue-transposition was required in 64.3% of VBD cases. Logistic regression analysis identified hypertension as significantly associated with VBD. The spasm remission rates and complication rates were comparable between VBD and non-VBD groups. The systematic review included 14 studies, of which 10 employed the one-step transposition technique, while four utilized the two-step approach. The included studies reported favorable outcomes (Cohen grade I or II) with the glue-transposition technique, ranging from 84.9 to 100%. The complication rates varied from 0 to 9.5%. Hypertension is an independent risk factor for VBD, which significantly increases the surgical complexity in MVD. Glue-transposition remains the most widely used technique for VA-associated HFS, with fibrin being the most common adhesive. We present the first experience of using cyanoacrylate as an adhesive in our cohort. Both our cohort study and literature review demonstrate that the glue-transposition technique is safe and effective.
Indexed as
Identifiers
40481849What OpenQuestion holds
Registered trials
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.