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Published: 2023-01-31
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DOI: https://doi.org/10.52852/tcncyh.v162i1.1316
Issue
Vol. 162 No. 1 (2023)
Section
Các bài báo
How to Cite
Hoàng Anh, P., Đại Hà, D. ., Thành Hưng, C., Trung Hải, V., Huy Mạnh, B., Tuấn Dũng, P. ., & Văn Hệ, Đồng. (2023). 5. Surgical outcomes of endoscope-associated microvascular decompression for hemifacial spasm at Viet Duc hospital. Journal of Medical Research, 162(1), 37-45. https://doi.org/10.52852/tcncyh.v162i1.1316

5. Surgical outcomes of endoscope-associated microvascular decompression for hemifacial spasm at Viet Duc hospital

Pham Hoang Anh, Duong Dai Ha, Chu Thanh Hung, Vu Trung Hai, Bui Huy Manh, Pham Tuan Dung, Dong Van He

Main Article Content

Abstract

Hemifacial spasm (HFS) is characterized by progressive, involuntary, irregular, clonic or tonic movements of muscles that are innervated by the seventh cranial nerve on one side of the face. Endoscope-assisted microvascular decompression for HFS is a relatively new treatment option in Vietnam. This is a descriptive study of 11 patients with hemifacial spasm who underwent endoscopic assisted microsurgery at Viet Duc Hospital from 1/2021 to 12/2021. The most common site of neurovascular conflict was the inferior anterior cerebellar artery (72.7%). Postoperatively, clinical symptoms completely resolved in 45.45% of cases, and the other 54.55% had at least some symptom relief. In 6 cases where surgical results were evaluated using the HFS scale, there was a marked decrease in clinical HFS scores (preoperative scores ranged between 12 - 16 points, and were reduced to 0 - 4 points after the procedure); and there was also a marked decrease in HFS-Quality of Life score, from 40 - 72 points to decreased 0 - 16 points. Endoscope-assisted mỉcrovascular decompression can be an effective treatment of hemifacial spasm with few complications. The HFS clinical and quality of life questionnaires can be used to monitor and evaluate postoperative outcomes.

Article Details

Keywords

Hemifacial spasm, endoscope-assisted, microvascular decompression

References

1. Văn Nho V. Co Giật nửa mặt. In: Phẫu Thuật Thần Kinh. Nhà Xuất Bản Y Học; 2013: 301-307.
2. Kong DS, Park K. Hemifacial spasm: a neurosurgical perspective. J Korean Neurosurg Soc. 2007; 42(5): 355-362. doi:10.3340/jkns.2007.42.5.355.
3. Magnan J. Endoscope-assisted decompression of facial nerve for treatment of hemifacial spasm. Neurochirurgie. 2018; 64(2): 144-152. doi:10.1016/j.neuchi.2018.01.007.
4. Telian SA, Daniel Ward P. Retrolabyrinthine and Retrosigmoid Vestibular Neurectomy. In: Otologic Surgery. Elsevier; 2010: 441-453. doi:10.1016/B978-1-4160-4665-3.00036-6.
5. Mercier P, Brassier G, Fournier HD, Delion M, Papon X, Lasjaunias P. Anatomie morphologique des nerfs crâniens dans leur portion cisternale (du III au XII). Neurochirurgie. 2009; 55(2): 78-86. doi:10.1016/j.neuchi.2009.01.019.
6. Wabbels B, Yaqubi A. Validation of a new hemifacial spasm grading questionnaire (HFS score) assessing clinical and quality of life parameters. J Neural Transm. 2021; 128(6): 793-802. doi:10.1007/s00702-021-02343-x.
7. Trần Hoàng Ngọc Anh. Phẫu thuật giải ép vi mạch trong điều trị co giật nửa mặt: kết quả 60 trường hợp phẫu thuật tại bệnh viện Nhân Dân Gia Định. Tạp Chí Học TP Hồ Chí Minh. 2014; 18(6): 328-334.
8. Donahue JH, Ornan DA, Mukherjee S. Imaging of Vascular Compression Syndromes. Radiol Clin North Am. 2017; 55(1): 123-138. doi:10.1016/j.rcl.2016.08.001.
9. Campos-Benitez M, Kaufmann AM. Neurovascular compression findings in hemifacial spasm. J Neurosurg. 2008; 109(3): 416-420. doi:10.3171/JNS/2008/109/9/0416.
10. Lee CC, Liao CH, Lin CF, et al. Brainstem auditory evoked potential monitoring and neuro-endoscopy: two tools to ensure hearing preservation and surgical success during microvascular decompression. J Chin Med Assoc JCMA. 2014; 77(6): 308-316. doi:10.1016/j.jcma.2014.02.016.
11. Badr-El-Dine M, El-Garem HF, Talaat AM, Magnan J. Endoscopically Assisted Minimally Invasive Microvascular Decompression of Hemifacial Spasm: Otol Neurotol. 2002; 23(2): 122-128. doi:10.1097/00129492-200203000-00002.