Source:http://linkedlifedata.com/resource/pubmed/id/10481785
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
7
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pubmed:dateCreated |
1999-10-20
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pubmed:abstractText |
Pre-operative and postoperative oblique sagittal gradient-echo magnetic resonance (MR) imaging was used to evaluate micro-vascular decompression of the facial nerves in 26 patients with hemifacial spasm. The pre-operative MR images were divided into two groups as follows: 22 images in Group I, clear imaging of a high-intensity line and/or spot at the root exit zone (REZ) of the facial nerve; and 4 in Group II, and unreliable image around the REZ. Surgery found that the causative vessel was the vertebral artery (VA) in 9 cases and the anterior inferior cerebellar artery (AICA) or the posterior inferior cerebellar artery (PICA) in 13 cases in Group I, and the AICA or the PICA in the 4 cases in Group II. Postoperative MR imaging showed clear decompression as the high-intensity line and/or spot completely separated from the REZ by a low- and/or iso- intensity area in 9 cases of VA compression repositioned to the petrous dura matter, in 11 cases of PICA or AICA compression treated by shredded Teflon pledgets in Group I and in 3 cases in Group II. Postoperative MR imaging showed an incomplete separation of any high-intensity line and/or spot in the REZ in 2 cases of PICA or AICA compression in Group I and in one in Group II. The outcome was excellent in 22 of 23 cases with clear decompression, and in 1 of 3 cases of unclear decompression. Hemifacial spasm persisted in 3 cases. Oblique sagittal gradient-echo MR imaging is a useful method for postoperative follow-up which can demonstrate changes around the REZ of the facial nerve if hemifacial spasm recurs.
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pubmed:commentsCorrections | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:issn |
0001-6268
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
141
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
737-42
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pubmed:dateRevised |
2009-11-11
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pubmed:meshHeading |
pubmed-meshheading:10481785-Arteries,
pubmed-meshheading:10481785-Cerebellum,
pubmed-meshheading:10481785-Decompression, Surgical,
pubmed-meshheading:10481785-Evaluation Studies as Topic,
pubmed-meshheading:10481785-Facial Nerve,
pubmed-meshheading:10481785-Female,
pubmed-meshheading:10481785-Hemifacial Spasm,
pubmed-meshheading:10481785-Humans,
pubmed-meshheading:10481785-Magnetic Resonance Imaging,
pubmed-meshheading:10481785-Male,
pubmed-meshheading:10481785-Microcirculation,
pubmed-meshheading:10481785-Middle Aged,
pubmed-meshheading:10481785-Postoperative Period,
pubmed-meshheading:10481785-Vascular Surgical Procedures,
pubmed-meshheading:10481785-Vertebral Artery
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pubmed:year |
1999
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pubmed:articleTitle |
Postoperative oblique sagittal MR imaging of microvascular decompression for hemifacial spasm.
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pubmed:affiliation |
Department of Neurosurgery, Yamanashi Medical University, Japan.
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pubmed:publicationType |
Journal Article,
Case Reports
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