title: Serious complications of microvascular decompression operations for trigeminal neuralgia and hemifacial spasm.
abstract: Serious complications of microvascular decompression operations for trigeminal neuralgia or hemifacial spasm are reported. Among 278 patients who underwent microvascular decompression, 9 serious complications were observed: 1 intracerebellar hematoma with acute hydrocephalus, 1 cerebellar swelling with acute hydrocephalus, 1 supratentorial acute subdural hematoma, 2 status epilepticus, 1 infarction of the brain stem, 1 subarachnoid hemorrhage due to traumatic aneurysm, and 1 infarction in the territory of the posterior cerebral artery. Of the 9 patients with such complications, 2 died. The possible causes of such serious complications are discussed.
authors.affiliation: Department of Neurosurgery, Shizuoka General Hospital, Japan.
authors.forename: J
authors.initials: J
authors.lastname: Hanakita
authors.forename: A
authors.initials: A
authors.lastname: Kondo
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002543:Cerebral Hemorrhage / Q000209:etiology; D005152:Facial Muscles; D005260:Female; D006801:Humans; D006849:Hydrocephalus / Q000209:etiology; D008297:Male; D008866:Microsurgery / Q000009:adverse effects*; D008875:Middle Aged; D013035:Spasm / Q000601:surgery*; D013226:Status Epilepticus / Q000209:etiology; D014277:Trigeminal Neuralgia / Q000601:surgery*; D014656:Vascular Surgical Procedures / Q000009:adverse effects*