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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1-4 Pt 1
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pubmed:dateCreated |
1998-11-5
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pubmed:abstractText |
The authors report the results of a series of 75 patients operated on for hemifacial spasm by the same surgeon between October 1981 and January 1997. Microsurgical vascular decompression was performed through a retromastoid approach in contralateral position. The conflicting vessel was identified as the posterior inferior cerebellar artery in 41.3% of the cases, the anterior inferior artery in 38.6%, and the vertebrobasilar complex in 18.7%. Follow-up varied from 1 month to 13 years (with a mean duration of 5 years and 2 months). The outcome was excellent (total improvement) in 57 cases, good (> 75% improvement) in 11 cases, fair (< 75%) in 4 cases and poor in 3 cases. Neurological complications included deafness or hearing loss in 3 cases (2 occurred in the absence of intraoperative monitoring and the other during the first part of the series) and facial paralysis in 1 case. Brainstem auditory evoked potential (BAEP) intraoperative monitoring should be performed to avoid postoperative auditory complications; a marked auditory loss was observed in only 1.6% of the 60 patients of our series who underwent BAEP intraoperative monitoring.
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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 |
1011-6125
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
68
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
260-5
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:9711726-Adult,
pubmed-meshheading:9711726-Aged,
pubmed-meshheading:9711726-Cerebral Arteries,
pubmed-meshheading:9711726-Decompression, Surgical,
pubmed-meshheading:9711726-Evoked Potentials, Auditory, Brain Stem,
pubmed-meshheading:9711726-Facial Nerve,
pubmed-meshheading:9711726-Female,
pubmed-meshheading:9711726-Hemifacial Spasm,
pubmed-meshheading:9711726-Humans,
pubmed-meshheading:9711726-Male,
pubmed-meshheading:9711726-Microsurgery,
pubmed-meshheading:9711726-Middle Aged,
pubmed-meshheading:9711726-Monitoring, Intraoperative,
pubmed-meshheading:9711726-Nerve Compression Syndromes,
pubmed-meshheading:9711726-Recurrence,
pubmed-meshheading:9711726-Retrospective Studies,
pubmed-meshheading:9711726-Treatment Outcome
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pubmed:year |
1997
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pubmed:articleTitle |
Microvascular decompression for the treatment of hemifacial spasm. Retrospective study of a consecutive series of 75 operated patients--electrophysiologic and anatomical surgical analysis.
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pubmed:affiliation |
Department of Neurosurgery, Hôpital Neurologique Pierre Wertheimer, Lyon, France.
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pubmed:publicationType |
Journal Article
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