Evidence map›Paper›PMID 41339533›Full record

ArticleActa neurochirurgica2025

How i do it: endoscopic transposition technique for hemifacial spasm caused by AICA compression.

Wei Zhang, Fuminari Komatsu, Yoko Kato

Abstract read
In one paragraph

Article in Acta neurochirurgica, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

3 authors.

Wei ZhangDepartment of Neurosurgery, Yidu Central Hospital of Weifang, Shandong Second Medical University, 4138 Linglongshan Road, Qingzhoushi, Shandong Province, 262500, China.
Fuminari KomatsuDepartment of Neurosurgery, Fujita Health University Bantane Hospital, 3‑6‑10 Otobashi, Nakagawa‑ward, Nagoya, Aichi, 454‑8509, Japan. fuminarikomatsu@gmail.com.
Yoko KatoDepartment of Neurosurgery, Fujita Health University Bantane Hospital, 3‑6‑10 Otobashi, Nakagawa‑ward, Nagoya, Aichi, 454‑8509, Japan.

Funding

Weifang Youth Medical Talent Support Program Document of Weifang Health Commission [2024] No. 113
6 · The paper itself

Abstract

backgroundAnterior inferior cerebellar artery (AICA) compression is a common cause of hemifacial spasm (HFS). Endoscopic-assisted microvascular decompression (eMVD) offers several advantages, including minimal invasiveness, wide viewing angles, and clear visualization.

methodsThe surgical procedure was performed under a four-step endoscopic technique. Step 1: A 0° endoscope was used to dissect the cerebellopontine cistern and release cerebrospinal fluid for decompression. Step 2: A 30° endoscope was employed to dissect the arachnoid around the facial nerve and expose the root exit zone (REZ). Step 3: The AICA was identified, carefully dissected, and transposed away from the REZ. Step 4: Adequate decompression and hemostasis were confirmed.

conclusionThe four-step endoscopic approach can achieve effective decompression in cases of HFS caused by AICA compression, providing favorable surgical outcomes.

Indexed as

CerebellumDecompression, SurgicalEndoscopyHemifacial SpasmMicrovascular Decompression SurgeryNeuroendoscopyHumansTreatment OutcomeAICAEMVDREZTransposition

Identifiers

PMID41339533
PMCPMC12695956

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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.