Hanakita J, Kondo A
Department of Neurosurgery, Shizuoka General Hospital, Japan.
Neurosurgery. 1988 Feb;22(2):348-52. doi: 10.1227/00006123-198802000-00012.
Serious complications of microvascular decompression operations for trigeminal neuralgia or hemifacial spasm are reported. Among 278 patients who underwent microvascular decompression, 9 serious complications were observed: 1 intracerebellar hematoma with acute hydrocephalus, 1 cerebellar swelling with acute hydrocephalus, 1 supratentorial acute subdural hematoma, 2 status epilepticus, 1 infarction of the brain stem, 1 subarachnoid hemorrhage due to traumatic aneurysm, and 1 infarction in the territory of the posterior cerebral artery. Of the 9 patients with such complications, 2 died. The possible causes of such serious complications are discussed.
报告了三叉神经痛或面肌痉挛微血管减压手术的严重并发症。在278例行微血管减压手术的患者中，观察到9例严重并发症：1例小脑内血肿伴急性脑积水，1例小脑肿胀伴急性脑积水，1例幕上急性硬膜下血肿，2例癫痫持续状态，1例脑干梗死，1例外伤性动脉瘤导致的蛛网膜下腔出血，以及1例大脑后动脉供血区梗死。在这9例有此类并发症的患者中，2例死亡。讨论了此类严重并发症的可能原因。
