Neurosurgical Review

, Volume 38, Issue 3, pp 567–572 | Cite as

Residual hemifacial spasm after microvascular decompression: prognostic factors with emphasis on preoperative psychological state

  • Yichao Jin
  • Changyi Zhao
  • Shanshan Su
  • Xiaohua ZhangEmail author
  • Yongming Qiu
  • Jiyao Jiang
Original Article


Residual hemifacial spasm (HFS) after microvascular decompression (MVD) is common, and the factors associated with residual HFS are still controversial. In the present study, we analyzed the outcome of 212 patients with hemifacial spasm after a single microvascular decompression and evaluated the prognostic factors involved in residual hemifacial spasm. Based on our study, possible prognostic factors included indentation of the root exit zone (REZ), preoperative illness duration, and preoperative psychological state. We suggest that MVD should be performed as early as possible for it may decrease the rate of residual HFS. Preoperative assessment of psychological state in HFS patients is a timely intervention that should be implemented to minimize the residual HFS.


Residual hemifacial spasm Microvascular decompression Prognostic factor Psychological state 


Conflicts of interest

The authors declare that they have no financial or other conflicts of interest in relation to this research and its publication.


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Copyright information

© Springer-Verlag Berlin Heidelberg 2015

Authors and Affiliations

  • Yichao Jin
    • 1
  • Changyi Zhao
    • 1
  • Shanshan Su
    • 2
  • Xiaohua Zhang
    • 1
    Email author
  • Yongming Qiu
    • 1
  • Jiyao Jiang
    • 1
  1. 1.Department of Neurosurgery, Renji HospitalShanghai Jiao Tong University School of MedicineShanghaiChina
  2. 2.Shanghai Mental Health CenterShanghai Jiao Tong University School of MedicineShanghaiChina

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