Evidence map›Paper›PMID 41782998›Full record

ArticleBrain & spine2026

Improved quality of life after microvascular decompression for hemifacial spasm.

Martin E Weidemeier, Victoria Bogaczyk, Henry W S Schroeder

Abstract read
In one paragraph

Article in Brain & spine, 2026. 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

3 authors.

Martin E WeidemeierDepartment of Neurosurgery, University Medicine Greifswald, Greifswald, Germany.
Victoria BogaczykDepartment of Neurosurgery, University Medicine Greifswald, Greifswald, Germany.
Henry W S SchroederDepartment of Neurosurgery, University Medicine Greifswald, Greifswald, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: This study aimed to evaluate the effectiveness of microvascular decompression (MVD) in improving the quality of life (QoL) of patients with hemifacial spasm (HFS), focusing on both short- and long-term outcomes. Research question: When will patients with HFS benefit from MVD regarding QoL? Material and methods: A longitudinal, prospective cohort study was conducted, involving 135 patients who underwent MVD at a tertiary referral center between January 2019 and March 2023. Health-related quality of life (HR-QoL) was assessed using the SF-36 questionnaire administered at three intervals: before surgery, three months after surgery, and twelve months after surgery. Results: Most patients reported complete resolution (63.4%) or at least 90% reduction (13.9%) of spasms after twelve months. Significant improvements were observed in the SF-36 scores, particularly in the domains of Mental Health and Social Functioning, from baseline to twelve months after surgery. Additionally, improvements in Mental Component Summary scores were statistically significant, suggesting substantial importance of patient-reported mental and emotional well-being. Permanent postoperative complications (hearing reduction/loss, mild hoarseness) were seen in 2.9%. Discussion and conclusion: The findings confirm that MVD provides significant and sustained improvements in HR-QoL in patients with HFS. The surgery not only alleviates physical symptoms but also contributes to substantial psychosocial recovery. These outcomes support MVD as a preferred treatment for HFS when a neurovascular conflict is suspected, advocating for its broader application in clinical practice. Continued follow-up and research are recommended to further document the procedure's long-term effectiveness and safety.

Indexed as

Hemifacial spasmMicrovascular decompressionQuality of lifeSF-36Treatment outcomes

Identifiers

PMID41782998
PMCPMC12955192

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.