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1例伴同侧桥小脑角蛛网膜囊肿的面肌痉挛病例

A Case of Facial Spasm Associated with Ipsilateral Cerebellopontine Angle Arachnoid Cyst.

作者信息

Ogawa Hiroshi, Hiroshima Satoru, Kamada Kyousuke

机构信息

Department of Neurosurgery, Asahikawa Medical University, Asahikawa, Hokkaido, Japan.

出版信息

Surg J (N Y). 2015 Sep 16;1(1):e38-e40. doi: 10.1055/s-0035-1564341. eCollection 2015 Dec.

Abstract

The authors report a rare case of right cerebellopontine angle cyst related to hemifacial spasm. The patient was a 66-year-old woman with a 3-year history of right hemifacial spasm. The cyst was diagnosed preoperatively by T2-weighted magnetic resonance imaging, which demonstrated a hyperintense area in the right cerebellopontine angle. A small artery was displaced by the cyst and compressed the root exit zone of the facial nerve. Decompression of the cyst and the vasculature using a microsurgical technique resulted in total recovery from hemifacial spasm.

摘要

作者报告了一例罕见的与半面痉挛相关的右侧桥小脑角囊肿病例。患者为一名66岁女性,有3年右侧半面痉挛病史。术前通过T2加权磁共振成像诊断出囊肿,该成像显示右侧桥小脑角有一个高信号区。一条小动脉被囊肿移位并压迫面神经的根出区。采用显微外科技术对囊肿和血管进行减压后,患者的半面痉挛完全康复。

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Neurovascular compression findings in hemifacial spasm.面肌痉挛的神经血管压迫表现
J Neurosurg. 2008 Sep;109(3):416-20. doi: 10.3171/JNS/2008/109/9/0416.
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Arachnoid cysts of the posterior fossa.后颅窝蛛网膜囊肿
Surg Neurol. 1999 Apr;51(4):376-82. doi: 10.1016/s0090-3019(98)00095-0.
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Rare causes of hemifacial spasm. Report of two cases.半面痉挛的罕见病因。两例报告。
Clin Neurol Neurosurg. 1991;93(2):155-8. doi: 10.1016/0303-8467(91)90059-x.

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