Lega Bradley C, Harper Richard L, Dannenbaum Mark D, Yoshor Daniel
Department of Neurosurgery, University of Pennsylvania, Philadelphia, PA 19104, USA.
Stereotact Funct Neurosurg. 2008;86(6):394-6. doi: 10.1159/000175803. Epub 2008 Nov 25.
Late recurrences after microvascular decompression for hemifacial spasm or trigeminal neuralgia are rare. We present an atypical case of recurrence one and a half years after successful microvascular decompression for hemifacial spasm associated with direct trauma. Implications for the management of recurrences and the judicious use of polymer adhesives such as fibrin glue are discussed.
微血管减压术治疗面肌痉挛或三叉神经痛后的晚期复发很少见。我们报告了一例非典型病例,该患者在成功进行微血管减压术治疗与直接创伤相关的面肌痉挛一年半后复发。文中讨论了复发的处理及对纤维蛋白胶等聚合物粘合剂的合理使用。