Hemifacial spasm: a long term follow-up of patients treated by posterior fossa surgery and facial nerve wrapping.
Hemifacial spasm: a long term follow-up of patients treated by posterior fossa surgery and facial nerve wrapping.
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面肌痉挛：对接受后颅窝手术和面神经包裹治疗的患者进行长期随访。
DOI：
10.1136/jnnp.44.12.1100
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发表时间：
1981
期刊：
影响因子：
--
通讯作者：
Christopher B. T. Adams
中科院分区：
文献类型：
--
作者：
Andrew H. Kaye;Christopher B. T. Adams
对16例面肌痉挛患者采用后颅窝手术加海绵体包裹面神经治疗。在16例病例中，14例获得了良好或优秀的结果，7例随访4年或更长时间。两名患者在手术后痉挛停止18个月和2年后，他们的面肌痉挛轻度复发。与其他作者的经验相反，仅在4例病例中发现了明确的血管异常。在其他12例病例中，再次提出神经周围的周向纤维化是手术有效性的机制。
Sixteen patients with hemifacial spasm were treated by posterior fossa surgery and wrapping of sponge around their facial nerve. A good or excellent result has been obtained in fourteen of the sixteen cases, and in seven cases followed by four years or longer. Two patients had a mild recurrence of their hemifacial spasm after a cessation of their spasm for eighteen months and two years following surgery. Contrary to the experience of other authors a definite vascular abnormality was found in only four cases. In the other twelve cases circumferential fibrosis about the nerve is again proposed as a mechanism for the effectiveness of the procedure.