Loeser J D, Chen J
Neurosurgery. 1983 Aug;13(2):141-6. doi: 10.1227/00006123-198308000-00006.
The literature on hemifacial spasm and its surgical therapy is reviewed, and the authors' experiences with 20 patients are described. Vascular cross compression of the facial nerve adjacent to the brain stem is seen in 90% of the surgical patients. Mobilizing the offending vessel will cure or significantly improve approximately 80% of the patients. Complications occur in 25% of the patients and usually involve decreased hearing or facial weakness. Mortality is virtually zero, and this operation is vastly superior to any other medical or surgical therapy for hemifacial spasm. The pathophysiology is not yet understood.
本文回顾了关于半面痉挛及其外科治疗的文献，并描述了作者对20例患者的治疗经验。在90%的接受手术治疗的患者中，可见脑干附近面神经的血管交叉压迫。松解肇事血管可治愈或显著改善约80%的患者。25%的患者出现并发症，通常表现为听力下降或面部无力。死亡率几乎为零，而且这种手术在治疗半面痉挛方面远优于任何其他药物或手术治疗方法。其病理生理学尚不清楚。
