[微血管减压术治疗椎动脉夹层动脉瘤所致半面痉挛：一例报告]
[Microvascular decompression for hemifacial spasm induced by vertebral artery dissecting aneurysm: one case report].
作者信息
Ou Changjiang, Wang Shenghu, Chen Yili, Mo Jun, Zhao Xuequn
机构信息
Department of Neurosurgery, the Fourth Affiliated Hospital, Zhejiang University School of Medicine, Yiwu 322000, China.
Department of Neurosurgery, the Fourth Affiliated Hospital, Zhejiang University School of Medicine, Yiwu 322000, China; Department of Neurosurgery, the Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310009, China.
出版信息
Zhejiang Da Xue Xue Bao Yi Xue Ban. 2016 May 25;45(5):536-539. doi: 10.3785/j.issn.1008-9292.2016.09.13.
A 61-year-old female presented with 4 years history of left-sided hemifacial spasm. Head MRI and angiography indicated left vertebral artery dissecting aneurysm which compressed ipsilateral cranial nerves Ⅶ and Ⅷ. Microvascular decompression was performed. The dissecting aneurysm was pushed apart and the distal part of the parent artery was adhered to the dura on the petrosum. The compressed nerves were totally decompressed. The symptom of facial spasm was completely resolved immediately after surgery and did not recur during 6 months of follow up.
一名61岁女性，有4年左侧面肌痉挛病史。头部MRI和血管造影显示左侧椎动脉夹层动脉瘤，压迫同侧Ⅶ、Ⅷ颅神经。行微血管减压术。将夹层动脉瘤推开，将母动脉远端贴附于岩骨硬脑膜上。受压神经完全减压。术后面部痉挛症状立即完全缓解，随访6个月未复发。
Zotero 插件