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| Microvascular decompression for hemifacial spasm induced by vertebral artery dissecting aneurysm: one case report |
| OU Changjiang1, WANG Shenghu1, CHEN Yili1, MO Jun1, ZHAO Xuequn1,2 |
1. Department of Neurosurgery, the Fourth Affiliated Hospital, Zhejiang University School of Medicine, Yiwu 322000, China;
2. Department of Neurosurgery, the Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310009, China |
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Abstract A 61-year-old female presented with 4 years history of left-sided hemifacial spasm. Head MRI and angiography indicated left vertebral artery dissecting aneurysm which compressed ipsilateral cranial nerves Ⅶ and Ⅷ. Microvascular decompression was performed. The dissecting aneurysm was pushed apart and the distal part of the parent artery was adhered to the dura on the petrosum. The compressed nerves were totally decompressed. The symptom of facial spasm was completely resolved immediately after surgery and did not recur during 6 months of follow up.
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Received: 20 February 2016
Published: 25 September 2016
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采用微血管减压治疗椎动脉夹层动脉瘤致面肌痉挛一例
一例61岁女性患者，左侧面部发作性抽搐4年，头颅磁共振和脑血管造影提示左侧椎动脉夹层动脉瘤形成，压迫同侧面听神经变形移位，行微血管减压术，推开夹层动脉瘤并将其远端载瘤动脉粘附于岩骨硬脑膜，面神经充分减压。术后患者面肌痉挛完全缓解，随访6个月无症状复发。
关键词：
动脉瘤,
夹层/外科学,
磁共振成像,
血管造影术,
数字减影,
动脉瘤,
夹层/诊断,
神经外科手术/方法,
椎动脉,
面部单侧痉挛,
病例报告
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