title: Microvascular decompression under neuroendoscopic view in hemifacial spasm: rostral-type compression and perforator-type compression.
abstract: We report microvascular decompression (MVD) under neuroendoscopic view in hemifacial spasm (HFS) patients with rostral- and perforator-type compression of the root exit zone (REZ) of the facial nerve. Using either a wireless iPad Mini as a monitor on the microscope or a high-resolution monitor, microscopic and endoscopic views enabled MVD for complete cure of HFS with rostral-type compression (the offender compressing the REZ on the opposite rostral side to the operative approach) or perforator-type compression (the offender tethered to the REZ by the perforator). MVD under neuroendoscopic view may offer more accurate MVD and complete resolution of HFS.
authors.affiliation: Department of Neurosurgery, Saitama Medical Center, Jichi Medical University, 1-847 Amanumacho, Omiyaku, Saitamashi, Saitama, 330-8503, Japan, m.ishikawa@jichi.ac.jp.
authors.forename: Mami
authors.initials: M
authors.lastname: Ishikawa
authors.forename: Yuichi
authors.initials: Y
authors.lastname: Tanaka
authors.forename: Eiju
authors.initials: E
authors.lastname: Watanabe
mesh_terms: D000328:Adult; D005154:Facial Nerve / Q000473:pathology* / Q000601:surgery*; D005260:Female; D019569:Hemifacial Spasm / Q000601:surgery*; D006801:Humans; D008297:Male; D061145:Microvascular Decompression Surgery / Q000379:methods*; D008875:Middle Aged; D044583:Neuroendoscopy / Q000379:methods*; D016896:Treatment Outcome