Sindou M, Fobé J L, Ciriano D, Fischer C
Hôpital Neurologique & Neurochirurgical P. Wertheimer, Service de Neurologie A, Lyon, France.
Rev Laryngol Otol Rhinol (Bord). 1990;111(5):427-31.
Microvascular decompression techniques are rational surgical procedures for treating trigeminal neuralgia and facial hemispasm, with results ranging from good to excellent in 90% of cases. Among the most frequent complications recorded in the literature concerning these decompressions, impairment of the facial nerve and auditory nerve account for 5% to 10% due to mechanical traction and/or vascular injury. The peroperative use of early brain-stem evoked potentials (BAEP) was performed on 17 patients in a series of 325 decompressions of the trigeminal nerve, and on 17 patients in a series of 25 decompressions for facial hemispasm. Such peroperative monitoring is considered to be most important in the surgical technique. The author reports on his experience and results.
微血管减压术是治疗三叉神经痛和面肌痉挛的合理外科手术方法，90%的病例效果良好至极佳。在有关这些减压手术的文献中记录的最常见并发症中，面神经和听神经损伤因机械牵拉和/或血管损伤占5%至10%。在325例三叉神经减压手术系列中的17例患者以及25例面肌痉挛减压手术系列中的17例患者中，术中使用了早期脑干诱发电位（BAEP）。这种术中监测在手术技术中被认为是最重要的。作者报告了他的经验和结果。
