caa a22 4500 606216774 CHVBK 20210128101105.0 cr unu---uuuuu 210128e20151101xx s 000 0 eng 10.1007/s00701-015-2562-x doi (NATIONALLICENCE)springer-10.1007/s00701-015-2562-x Management of vessels passing through the facial nerve in the treatment of hemifacial spasm [Elektronische Daten] [Bao-Hui Feng, Xue-Sheng Zheng, Xu-Hui Wang, Ting-Ting Ying, Min Yang, Yin-Da Tang, Shi-Ting Li] Background: In hemifacial spasm, it is extremely rare to find a vessel passing through the facial nerve. In this study, we present our experience of the surgical treatment of four such patients. Methods: From January 2010 to Match 2015, we treated 2,576 hemifacial spasm patients with microvascular decompression in our department. Of these, four had an intraneural vessel. Intraoperative findings and treatment were recorded, and postoperative outcomes were analyzed. Results: In three patients, the intraneural vessel was the anterior inferior cerebellar artery, which we wrapped with small pieces of wet gelatin and Teflon sponge. A small vein found in the fourth patient was treated with facial nerve combing. Complete decompression was achieved and abnormal muscle response disappeared. Three patients got an excellent result and one patient got a good result. One patient had postoperative facial paralysis, which improved over 10months of follow-up. Conclusion: If an artery passes through the facial nerve, it can be decompressed by wrapping the vessel with wet gelatin and Teflon sponge. If a vein passes through the facial nerve, combing can be used. Intraoperative abnormal muscle response monitoring is very helpful in achieving complete decompression. Springer-Verlag Wien, 2015 Hemifacial spasm nationallicence Intraneural vessel nationallicence Microvascular decompression nationallicence Electrophysiological monitoring nationallicence Feng Bao-Hui Department of Neurosurgery, Xinhua Hospital, Shanghai JiaoTong University School of Medicine, Cranial Nerve Disease Center of Shanghai JiaoTong University, 200092, Shanghai, China aut Zheng Xue-Sheng Department of Neurosurgery, Xinhua Hospital, Shanghai JiaoTong University School of Medicine, Cranial Nerve Disease Center of Shanghai JiaoTong University, 200092, Shanghai, China aut Wang Xu-Hui Department of Neurosurgery, Xinhua Hospital, Shanghai JiaoTong University School of Medicine, Cranial Nerve Disease Center of Shanghai JiaoTong University, 200092, Shanghai, China aut Ying Ting-Ting Department of Neurosurgery, Xinhua Hospital, Shanghai JiaoTong University School of Medicine, Cranial Nerve Disease Center of Shanghai JiaoTong University, 200092, Shanghai, China aut Yang Min Department of Neurosurgery, Xinhua Hospital, Shanghai JiaoTong University School of Medicine, Cranial Nerve Disease Center of Shanghai JiaoTong University, 200092, Shanghai, China aut Tang Yin-Da Department of Neurosurgery, Xinhua Hospital, Shanghai JiaoTong University School of Medicine, Cranial Nerve Disease Center of Shanghai JiaoTong University, 200092, Shanghai, China aut Li Shi-Ting Department of Neurosurgery, Xinhua Hospital, Shanghai JiaoTong University School of Medicine, Cranial Nerve Disease Center of Shanghai JiaoTong University, 200092, Shanghai, China aut Acta Neurochirurgica Springer Vienna 157/11(2015-11-01), 1935-1940 0001-6268 157:11<1935 2015 157 701 https://doi.org/10.1007/s00701-015-2562-x 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/s00701-015-2562-x text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Feng Bao-Hui Department of Neurosurgery, Xinhua Hospital, Shanghai JiaoTong University School of Medicine, Cranial Nerve Disease Center of Shanghai JiaoTong University, 200092, Shanghai, China aut NATIONALLICENCE 700 1- Zheng Xue-Sheng Department of Neurosurgery, Xinhua Hospital, Shanghai JiaoTong University School of Medicine, Cranial Nerve Disease Center of Shanghai JiaoTong University, 200092, Shanghai, China aut NATIONALLICENCE 700 1- Wang Xu-Hui Department of Neurosurgery, Xinhua Hospital, Shanghai JiaoTong University School of Medicine, Cranial Nerve Disease Center of Shanghai JiaoTong University, 200092, Shanghai, China aut NATIONALLICENCE 700 1- Ying Ting-Ting Department of Neurosurgery, Xinhua Hospital, Shanghai JiaoTong University School of Medicine, Cranial Nerve Disease Center of Shanghai JiaoTong University, 200092, Shanghai, China aut NATIONALLICENCE 700 1- Yang Min Department of Neurosurgery, Xinhua Hospital, Shanghai JiaoTong University School of Medicine, Cranial Nerve Disease Center of Shanghai JiaoTong University, 200092, Shanghai, China aut NATIONALLICENCE 700 1- Tang Yin-Da Department of Neurosurgery, Xinhua Hospital, Shanghai JiaoTong University School of Medicine, Cranial Nerve Disease Center of Shanghai JiaoTong University, 200092, Shanghai, China aut NATIONALLICENCE 700 1- Li Shi-Ting Department of Neurosurgery, Xinhua Hospital, Shanghai JiaoTong University School of Medicine, Cranial Nerve Disease Center of Shanghai JiaoTong University, 200092, Shanghai, China aut NATIONALLICENCE 773 0- Acta Neurochirurgica Springer Vienna 157/11(2015-11-01), 1935-1940 0001-6268 157:11<1935 2015 157 701