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Failed microvascular decompression surgery for hemifacial spasm: a retrospective clinical study of reoperations

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Abstract

Background

To investigate the repeat microvascular decompression on hemifacial spasm patients who failed the first MVD.

Methods

Twenty-six patients underwent late redo MVD in our institution from January 1, 2011 to December 31, 2015. The clinical features, surgical findings, outcomes, and complications of the repeat MVD were analyzed retrospectively.

Results

Twenty-four (92.3 %) patients were cured immediately after the redo MVD. Delayed relief was found in two (7.7 %) patients; it took 6 days and 2 weeks for them to obtain complete relief. No recurrence was found during follow-up. Surgical complications including three (11.5 %) facial paralysis and one (3.8 %) hearing loss.

Conclusions

We suggested that repeat MVD can be performed 2 years after the first MVD if the spasm was not resolved. Repeat MVD for HFS is effective.

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References

  1. Barker FG 2nd, Jannetta PJ, Bissonette DJ, Shields PT, Larkins MV, Jho HD (1995) Microvascular decompression for hemifacial spasm. J Neurosurg 82:201–210

    Article  PubMed  Google Scholar 

  2. Campos-Benitez M, Kaufmann AM (2008) Neurovascular compression findings in hemifacial spasm. J Neurosurg 109:416–420

    Article  PubMed  Google Scholar 

  3. Dai Y, Ni H, Xu W, Lu T, Liang W (2016) Clinical analysis of hemifacial spasm patients with delay symptom relief after microvascular decompression of distinct offending vessels. Acta Neurol Belg 116:53–56

    Article  PubMed  Google Scholar 

  4. Dannenbaum M, Lega BC, Suki D, Harper RL, Yoshor D (2008) Microvascular decompression for hemifacial spasm: long-term results from 114 operations performed without neurophysiological monitoring. J Neurosurg 109:410–415

    Article  PubMed  Google Scholar 

  5. Engh JA, Horowitz M, Burkhart L, Chang YF, Kassam A (2005) Repeat microvascular decompression for hemifacial spasm. J Neurol Neurosurg Psychiatry 76:1574–1580

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  6. Fukuda M, Oishi M, Takao T, Hiraishi T, Sato Y, Fujii Y (2012) Monitoring of abnormal muscle response and facial motor evoked potential during microvascular decompression for hemifacial spasm. Surg Neurol Int 3:118

    Article  PubMed  PubMed Central  Google Scholar 

  7. Goto Y, Matsushima T, Natori Y, Inamura T, Tobimatsu S (2002) Delayed effects of the microvascular decompression on hemifacial spasm: a retrospective study of 131 consecutive operated cases. Neurol Res 24:296–300

    Article  PubMed  Google Scholar 

  8. Hatem J, Sindou M, Vial C (2001) Intraoperative monitoring of facial EMG responses during microvascular decompression for hemifacial spasm. Prognostic value for long-term outcome: a study in a 33-patient series. Br J Neurosurg 15:496–499

    Article  CAS  PubMed  Google Scholar 

  9. Heuser K, Kerty E, Eide PK, Cvancarova M, Dietrichs E (2007) Microvascular decompression for hemifacial spasm: postoperative neurologic follow-up and evaluation of life quality. Eur J Neurol 14(3):335–340

    Article  CAS  PubMed  Google Scholar 

  10. Hirono S, Yamakami I, Sato M, Kado K, Fukuda K, Nakamura T, Higuchi Y, Saeki N (2014) Continuous intraoperative monitoring of abnormal muscle response in microvascular decompression for hemifacial spasm; a real-time navigator for complete relief. Neurosurg Rev 37:311–320

    Article  PubMed  Google Scholar 

  11. Huh R, Han IB, Moon JY, Chang JW, Chung SS (2008) Microvascular decompression for hemifacial spasm: analyses of operative complications in 1582 consecutive patients. Surg Neurol 69:153–157

    Article  PubMed  Google Scholar 

  12. Hyun SJ, Kong DS, Park K (2010) Microvascular decompression for treating hemifacial spasm: lessons learned from a prospective study of 1,174 operations. Neurosurg Rev 33:325–334

    Article  PubMed  Google Scholar 

  13. Ishikawa M, Nakanishi T, Takamiya Y, Namiki J (2001) Delayed resolution of residual hemifacial spasm after microvascular decompression operations. Neurosurgery 49:847–856

    CAS  PubMed  Google Scholar 

  14. Jho HD, Jannetta PJ (1987) Hemifacial spasm in young people treated with microvascula decompression of the facial nerve. Neurosurgery 20:767–770

    Article  CAS  PubMed  Google Scholar 

  15. Jo KW, Kong DS, Park K (2013) Microvascular decompression for hemifacial spasm: long-term outcome and prognostic factors, with emphasis on delayed cure. Neurosurg Rev 36:297–302

    Article  PubMed  Google Scholar 

  16. Joo WI, Lee KJ, Park HK, Chough CK, Rha HK (2008) Prognostic value of intra-operative lateral spread response monitoring during microvascular decompression in patients with hemifacial spasm. J Clin Neurosci 15:1335–1339

    Article  PubMed  Google Scholar 

  17. Kalkanis SN, Eskandar EN, Carter BS, Barker FG 2nd (2003) Microvascular decompression surgery in the United States, 1996 to 2000: mortality rates, morbidity rates, and the effects of hospital and surgeon volumes. Neurosurgery 52:1251–1262

    Article  PubMed  Google Scholar 

  18. Kong DS, Park K, Shin BG, Lee JA, Eum DO (2007) Prognostic value of the lateral spread response for intraoperative electromyography monitoring of the facial musculature during microvascular decompression for hemifacial spasm. J Neurosurg 106:384–387

    Article  PubMed  Google Scholar 

  19. Lee MH, Jee TK, Lee JA, Park K (2016) Postoperative complications of microvascular decompression for hemifacial spasm: lessons from experience of 2040 cases. Neurosurg Rev 39:151–158

    Article  PubMed  Google Scholar 

  20. Li CS (2005) Varied patterns of postoperative course of disappearance of hemifacial spasm after microvascular decompression. Acta Neurochir (Wien) 147:617–620

    Article  CAS  Google Scholar 

  21. Li J, Zhang Y, Zhu H, Li Y (2012) Prognostic value of intra-operative abnormal muscle response monitoring during microvascular decompression for long-term outcome of hemifacial spasm. J Clin Neurosci 19:44–48

    Article  PubMed  Google Scholar 

  22. Marneffe V, Polo G, Fischer C, Sindou M (2003) Microsurgical vascular decompression for hemifacial spasm. Follow-up over one year, clinical results and prognostic factors. Study of a series of 100 cases. Neurochirurgie 49:527–535

    CAS  PubMed  Google Scholar 

  23. McLaughlin MR, Jannetta PJ, Clyde BL, Subach BR, Comey CH, Resnick DK (1999) Microvascular decompression of cranial nerves: lessons learned after 4400 operations. J Neurosurg 90:1–8

    Article  CAS  PubMed  Google Scholar 

  24. Miller LE, Miller VM (2012) Safety and effectiveness of microvascular decompression for treatment of hemifacial spasm: a systematic review. Br J Neurosurg 26:438–444

    Article  PubMed  Google Scholar 

  25. Moussa R, Harfouche D, Samaha E, Rizk T, Nohra G, Okais N (2006) Microsurgical facial nerve decompression for hemifacial spasm. J Med Liban 54:146–151

    PubMed  Google Scholar 

  26. Neves DO, Lefaucheur JP, de Andrade DC, Hattou M, Ahdab R, Ayache SS, Le Guerinel C, Keravel Y (2009) A reappraisal of the value of lateral spread response monitoring in the treatment of hemifacial spasm by microvascular decompression. J Neurol Neurosurg Psychiatry 80:1375–1380

    Article  CAS  PubMed  Google Scholar 

  27. Payner TD, Tew JM Jr (1996) Recurrence of hemifacial spasm after microvascular decompression. Neurosurgery 38:686–691

    Article  CAS  PubMed  Google Scholar 

  28. Polo G, Fischer C, Sindou MP, Marneffe V (2004) Brainstem auditory evoked potential monitoring during microvascular decompression for hemifacial spasm: intraoperative brainstem auditory evoked potential changes and warning values to prevent hearing loss–prospective study in a consecutive series of 84 patients. Neurosurgery 54:97–106

    Article  PubMed  Google Scholar 

  29. Ray DK, Bahgat D, McCartney S, Burchiel KJ (2010) Surgical outcome and improvement in quality of life after microvascular decompression for hemifacial spasms: a case series assessment using a validated disease-specific scale. Stereotact Funct Neurosurg 88:383–389

    Article  PubMed  Google Scholar 

  30. Sekula RF Jr, Bhatia S, Frederickson AM, Jannetta PJ, Quigley MR, Small GA, Breisinger R (2009) Utility of intraoperative electromyography in microvascular decompression for hemifacial spasm: a meta-analysis. Neurosurg Focus 27:E10

    Google Scholar 

  31. Shibahashi K, Morita A, Kimura T (2013) Surgical results of microvascular decompression procedures and patient’s postoperative quality of life: review of 139 cases. Neurol Med Chir (Tokyo) 53:360–364

    Article  Google Scholar 

  32. Shin JC, Chung UH, Kim YC, Park CI (1997) Prospective study of microvascular decompression in hemifacial spasm. Neurosurgery 40:730–735

    Article  CAS  PubMed  Google Scholar 

  33. Sindou MP (2005) Microvascular decompression for primary hemifacial spasm. Importance of intraoperative neurophysiological monitoring. Acta Neurochir (Wien) 147:1019–1026

    Article  CAS  Google Scholar 

  34. Tobishima H, Hatayama T, Ohkuma H (2014) Relation between the persistence of an abnormal muscle response and the long-term clinical course after microvascular decompression for hemifacial spasm. Neurol Med Chir (Tokyo) 54:474–482

    Article  Google Scholar 

  35. Wang X, Thirumala PD, Shah A, Gardner P, Habeych M, Crammond D, Balzer J, Burkhart L, Horowitz M (2013) Microvascular decompression for hemifacial spasm: focus on late reoperation. Neurosurg Rev 36:637–644

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Neurosurgery, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, 321 Zhongshan Road, Nanjing, Jiangsu, 210009, China

    Chengrong Jiang, Wu Xu, Yuxiang Dai, Tianyu Lu, Wei Jin & Weibang Liang

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  1. Chengrong Jiang
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  2. Wu Xu
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  3. Yuxiang Dai
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  4. Tianyu Lu
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  5. Wei Jin
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Correspondence to Weibang Liang.

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No funding was received for this research.

Conflict of interest

None.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. For this type of study formal consent is not required.

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All the patients mentioned in this article gave their consent for inclusion.

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Jiang, C., Xu, W., Dai, Y. et al. Failed microvascular decompression surgery for hemifacial spasm: a retrospective clinical study of reoperations. Acta Neurochir 159, 259–263 (2017). https://doi.org/10.1007/s00701-016-3006-y

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  • DOI: https://doi.org/10.1007/s00701-016-3006-y

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