Open AccessMicrovascular decompression and aneurysm clipping for a patient with hemifacial spasm and ipsilateral labyrinthine artery aneurysm: A rare case report and literature review
Author(s) -
Liu Yufei,
Chen Fanfan,
Li Zongyang,
Yang Jihu,
Zhang Xiejun,
Chen Lei,
Zhang Liwei,
Huang Guodong
Publication year - 2022
Publication title -
cns neuroscience and therapeutics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.403
H-Index - 69
eISSN - 1755-5949
pISSN - 1755-5930
DOI - 10.1111/cns.13783
Subject(s) - hemifacial spasm , microvascular decompression , clipping (morphology) , facial nerve , medicine , aneurysm , decompression , anatomy , surgery , linguistics , philosophy , trigeminal neuralgia
Preoperative MRI results showed a vascular anomaly at the REZ of the left facial nerve (Figure A) and an anomaly at the internal auditory canal (Figure B). The left AICA was identified as the offending vessel compressing the left facial nerve at the REZ (Figure C). After the artery was dissociated and Teflon felt was placed between the involved vessel and the facial nerve (Figure D), electrophysiological monitoring indicated that the AMR had disappeared (Figure E).