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Endoscopic visualization during Microvascular decompression in hemifacial spasm enables better identification of compression areas along the facial nerve. This value is respected in cases with complex compression and enlarged vessels… Click to show full abstract
Endoscopic visualization during Microvascular decompression in hemifacial spasm enables better identification of compression areas along the facial nerve. This value is respected in cases with complex compression and enlarged vessels obscuring the compression site. We present a 40 years old male with left hemifacial spasm since 10 years. The MRI images showed deep compression site with multiple vessels. Within the narrow room, the compression area was clearly visualized using angled endoscope. Arterial transposition was performed using teflon sling which was fixed to the nearby dura using an aneurysm clip. Decompression was visually confirmed using angled endoscope. The patient experienced pain free long follow up period.
Journal Title: World neurosurgery
Year Published: 2022
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