Battista A F
Adv Neurol. 1983;37:215-24.
Over the past 3 1/2 years, 28 patients with blepharospasm have undergone, bilaterally, staged percutaneous thermolytic fractional destruction of branches of the facial nerve. This series consisted of 20 women and eight men ranging in age from 40 to 79 years, with symptoms for from 1 to over 10 years. At the time of follow-up, 12 patients had undergone one operation, 12 had had two operations, and four had had three to five operations. Sixteen of the 28 patients obtained excellent to good relief of symptoms for 1 to 3 1/2 years. The procedures performed using local anesthesia and intravenous analgesia allow the immediate recognition of any facial muscle weakness or asymmetry. The findings indicate that this procedure, in many patients with minimal complications, can significantly relieve the incapacitating symptoms of blepharospasm.
在过去三年半的时间里，28例睑痉挛患者接受了双侧分期经皮热溶解部分面神经分支的手术。该系列患者包括20名女性和8名男性，年龄在40岁至79岁之间，症状持续时间为1年至10年以上。在随访时，12例患者接受了一次手术，12例接受了两次手术，4例接受了三至五次手术。28例患者中有16例在1至3年半的时间里症状得到了显著缓解。使用局部麻醉和静脉镇痛进行的手术能够立即识别出任何面部肌肉无力或不对称的情况。研究结果表明，该手术在许多并发症极少的患者中，能够显著缓解睑痉挛导致的功能障碍症状。
