Chin J Minim Invasive Neurosurg, VOL.19, NO.11, November 20, : R745.1 : A doi: /j.issn X

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1 Chin J Minim Invasive Neurosurg VOL.19 NO.11 November ; ; ; ; ; : R745.1 : A doi: /j.issn X (hemifacial spasmhfs) ( 150 )AMR AMR CT MRI (3D-TOF-MRA) 2012 ( ) [10-13] : 1 ( 2 ) : [1-3] 3 : 4 [4-6] : [7] [1113] [8-9] AMR (LSR) EMG (brainstem acoustic evoked potentialbaep) AMR 10 ms (electromyographyemg) [14-16] AMR (abnormal muscle responseamr) :1 2 (lateral spread responselsr) EMG 0.2 ms 0.5~1.0 Hz 5~20 ma EMG :

2 Chin J Minim Invasive Neurosurg VOL.19 NO.11 November EMG ( 150 ) [11] BAEP : [17-19] U/0.1 ml 1 (MVD) ; (5.0 U/0.1 ml) MRI MRI 1 55 U1 CT MRI 200 U : 90% (AVM) MRI 1 1~8 3~4 3D-TOF-MRA MVD 3 MRI [20] 360 MRI 3D-TOF-MRA MVD 3D- [26-27] TOF-MRA MVD : [21-22] 3~ [23] ( ) : mg/d ; ; [24-25] : 1 2 ( ) 3CT MRI : 1 CT MRI : A (botulinum toxin A) [26-27] 4MVD 5MVD AMR

3 Chin J Minim Invasive Neurosurg VOL.19 NO.11 November : 1 2 ( MVD ) 3 MVD : 1 AMR ZLR 2 MRI CT 3D-TOF-MRI (AMR BAEP ) : : 26 mmhg β : 15 ~ :1 (excellent): : (good): 1 cm 2.5 cm 3 (fair): 4 (poor): [ ] : AMR ; AMR ~ [37-38] 6 (Teflon ) 24 h CT AMR (ZLR) BAEP : AMR AMR 7-7.1

4 Chin J Minim Invasive Neurosurg VOL.19 NO.11 November d 3 d 30 d 90% MVD [35] :1 1~ [1] Jannetta PJ. Neurovascular compression in cranial nerve 5 and systemic disease [J]. Ann Surg (4): [2] Gardner WJ. Concerning the mechanism of trigeminal 7.2 MVD 0.1% neuralgia and hemifacial spasm [J]. J Neurosurg : [3] McLaughlin MR Jannetta PJ Clyde BL et al. Microvascular decompression of cranial nerves: lessons learned after 4400 operations [J]. J Neurosurg (1): 1-8. [4]. [M]. : 2001: [5]. [M]. : 2004: [6] Li X Zheng X Wang X et al. Microvascular decompression treatment for post-bell's palsy hemifacial spasm 24 h [J]. Neurol Res (2): [7] Feng B Zheng X Zhang W et al. Surgical treatment of pediatric hemifacial spasm patients [J]. Acta Neurochir (Wien) (5): [8] Tan EK Jankovic J. Bilateral hemifacial spasm: a report of five cases and a literature review [J]. Mov Disord CT CT (2): [9] Felicio AC Godeiro-Junior Cde O Borges V et al. Bilateral 7.3 hemifacial spasm: a series of 10 patients with literature ; review [J]. Parkinsonism Relat Disord (2): ; [10] Barker FG 2nd Jannetta PJ Bissonette DJ et al. Microvascular decompression for hemifacial spasm [J]. J Neuro- surg (2): [11] Sekula RF Jr Frederickson AM Arnone GD et al. Microvascular decompression for hemifacial spasm in patients >65 years of age: an analysis of outcomes and complications [J]. Muscle Nerve (5): [12] National Institute of Neurological Disorders and Stroke. Hemifacial Spasm [EB/OL]. ( ) [ ] http: // gov/disorders/hemifacial_spasm/hemifac-

5 Chin J Minim Invasive Neurosurg VOL.19 NO.11 November ial_spasm.htm. toxin A treatment for primary hemifacial spasm: a 10-year [13]. multicenter study [J]. Arch Neurol (3): [M]. : 2011: [14] Campos-Benitez M Kaufmann AM. Neurovascular compression findings in hemifacial spasm [J]. J Neurosurg (3): [27] Elston JS. Botulinum toxin treatment of hemifacial spasm [J]. J Neurol Neurosurg Psychiatry (7): [28] Dannenbaum M Lega BC Suki D et al. Microvascular decompression for hemifacial spasm: long-term results [15] Moller AR Jannetta PJ. Microvascular decompression in from 114 operations performed without neurophysiological hemifacial spasm: intraoperative electrophysiological observations [J]. Neurosurgery (5): [16] Valls-Sole J. Electrodiagnostic studies of the facial nerve in peripheral facial palsy and hemifacial spasm [J]. Muscle Nerve (1): [17] Legatt AD. Mechanisms of intraoperative brainstem auditory evoked potential changes [J]. J Clin Neurophysiol (5): [18] Polo G Fischer C Sindou MP et al. 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 [J]. Neurosurgery (1): monitoring [J]. J Neurosurg (3): [29] Kong DS Park K. Hemifacial spasm: a neurosurgical perspective [J]. J Korean Neurosurg Soc (5): [30] Abbruzzese G Berardelli A Defazio G. Hemifacial spasm [J]. Handb Clinical Neurol : [31] Zhu J Li ST Zhong J et al. Microvascular decompression for hemifacial spasm [J]. J Craniofac Surgery (5): [32] Li S Hong W Tang Y et al. Re-operation for persistent hemifacial spasm after microvascular decompression with the aid of intraoperative monitoring of abnormal muscle response [J]. Acta Neurochir (Wien) (12): [19]. [M]. : 2006: [33] Zhong J Li ST Zhu J et al. Is entire nerve root decompression [20] Girard N Poncet M Caces F et al. Three-dimensional MRI of hemifacial spasm with surgical correlation [J]. Neuroradiology (1): [21] Guan HX Zhu J Zhong J. Correlation between idiopathic hemifacial spasm and the MRI characteristics of the vertebral artery [J]. J Clin Neurosci (4): [22] Du C Korogi Y Nagahiro S et al. Hemifacial spasm: necessary for hemifacial spasm [J]? Int J Surg (3): [34] Zhong J Zhu J Li ST et al. An analysis of failed microvascular decompression in patients with hemifacial spasm: focused on the early reoperative findings [J]. Acta Neurochir (Wien) (12): [35] Zhong J Li ST Zhu J et al. A clinical analysis on microvascular decompression surgery in a series of 3000 cases three-dimensional MR images in the evaluation of [J]. Clin Neurol Neurosurg (7): neurovascular compression [J]. Radiology (1): [23] Boghen DR Lesser RL. Blepharospasm and hemifacial spasm [J]. Curr Treat Options Neurol (5): [24] Patel J Naritoku DK. Gabapentin for the treatment of hemifacial spasm [J]. Clin Neuropharmacol (2): [25] Sandyk R Gillman MA. Baclofen in hemifacial spasm [J]. [36] Li Y Zheng X Hua X et al. Surgical treatment of hemifacial spasm with zone-4 offending vessel [J]. Acta Neurochir (Wien) (5): [37] Schwedt TJ Dodick DW. Spontaneous intracranial hypotension [J]. Curr Pain Headache Rep (1): [38] Couch JR. Spontaneous intracranial hypotension: the syndrome and its complications [J]. Curr Treat Options Neurol (1): Int J Neurosci (3-4): [26] Defazio G Abbruzzese G Girlanda P et al. Botulinum ( : )!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! :

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