caa a22 4500 606216286 CHVBK 20210128101102.0 cr unu---uuuuu 210128e20150501xx s 000 0 eng 10.1007/s00701-015-2393-9 doi (NATIONALLICENCE)springer-10.1007/s00701-015-2393-9 Lateral basal approach with a supine, no-retractor method for microvascular decompression for hemifacial spasm [Elektronische Daten] [Katsuyoshi Shimizu, Masaki Matsumoto, Akira Wada, Tohoru Mizutani] Background: We describe the details of our unique surgical procedures for microvascular decompression for hemifacial spasm. Methods: A patient is just laid supine, skipping the complicated preparation for the lateral or park-bench position. The subfloccular approach from a small cranial window situated on the more lateral and basal side of the occipital cranium enables the surgeon to reach all the segments of the facial nerve root without cerebellar retraction by a spatula. Conclusions: We believe this approach is ideal for the safe and precise decompression of any part of the facial nerve root. Springer-Verlag Wien, 2015 Hemifacial spasm nationallicence Microvascular decompression nationallicence Supine position nationallicence No retractor nationallicence Shimizu Katsuyoshi Department of Neurosurgery, Showa University School of Medicine, 5-8 Hatanodai 1, 142-8666, Shinagawa-ku, Tokyo, Japan aut Matsumoto Masaki Department of Neurosurgery, Showa University School of Medicine, 5-8 Hatanodai 1, 142-8666, Shinagawa-ku, Tokyo, Japan aut Wada Akira Department of Neurosurgery, Showa University School of Medicine, 5-8 Hatanodai 1, 142-8666, Shinagawa-ku, Tokyo, Japan aut Mizutani Tohoru Department of Neurosurgery, Showa University School of Medicine, 5-8 Hatanodai 1, 142-8666, Shinagawa-ku, Tokyo, Japan aut Acta Neurochirurgica Springer Vienna 157/5(2015-05-01), 803-806 0001-6268 157:5<803 2015 157 701 https://doi.org/10.1007/s00701-015-2393-9 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00701-015-2393-9 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Shimizu Katsuyoshi Department of Neurosurgery, Showa University School of Medicine, 5-8 Hatanodai 1, 142-8666, Shinagawa-ku, Tokyo, Japan aut NATIONALLICENCE 700 1- Matsumoto Masaki Department of Neurosurgery, Showa University School of Medicine, 5-8 Hatanodai 1, 142-8666, Shinagawa-ku, Tokyo, Japan aut NATIONALLICENCE 700 1- Wada Akira Department of Neurosurgery, Showa University School of Medicine, 5-8 Hatanodai 1, 142-8666, Shinagawa-ku, Tokyo, Japan aut NATIONALLICENCE 700 1- Mizutani Tohoru Department of Neurosurgery, Showa University School of Medicine, 5-8 Hatanodai 1, 142-8666, Shinagawa-ku, Tokyo, Japan aut NATIONALLICENCE 773 0- Acta Neurochirurgica Springer Vienna 157/5(2015-05-01), 803-806 0001-6268 157:5<803 2015 157 701