Hemifacial Spasm: An Update

A special issue of Life (ISSN 2075-1729). This special issue belongs to the section "Physiology and Pathology".

Deadline for manuscript submissions: closed (30 June 2023) | Viewed by 3222

Special Issue Editors


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Guest Editor
Department of Neurosurgery, Konkuk University Medical Center, 120-1 Neungdong-ro, Gwangjin-ku, Seoul, Republic of Korea
Interests: hemifacial spasm; glossopharyngeal neuralgia; trigeminal neuralgia; meningioma

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Guest Editor
Department of Neurosurgery, Konyang University, 158, Gwanjeodong-ro, Seo-gu, Daejeon 35365, Korea
Interests: hemifacial spasm; endovascular coil embolization; mechanial thrombectomy

Special Issue Information

Dear Colleagues,

HFS is a movement disorder involving involuntary contractions on one side of the face, and is mainly caused by a compression on the facial nerve root entry zone (REZ) by one or two arteries. Microvascular decompression (MVD) is conducted to decompress the REZ, and it has become the choice of treatment for HFS.

This Special Issue covers a wide range of topics related to hemifacial spasm, from basic knowledge including overview, diagnosis, and treatment options of HFS to more advanced aspects such as electrophysiological studies, complicated cases of MVD, and research on various clinical courses.

Dr. Kwan Park
Dr. JAE SUNG PARK
Guest Editors

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Keywords

  • hemifacial spasm
  • microvascular decompression
  • electrophysiological study

Published Papers (2 papers)

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12 pages, 1164 KiB  
Review
Intraoperative Monitoring of the Facial Nerve during Microvascular Decompression for Hemifacial Spasm
by Chiman Jeon, Na Young Jung, Minsoo Kim and Kwan Park
Life 2023, 13(7), 1616; https://doi.org/10.3390/life13071616 - 24 Jul 2023
Cited by 1 | Viewed by 1997
Abstract
This review article discusses the clinical significance of intraoperative neurophysiological monitoring (IONM), provides recommendations for monitoring protocols, and considers the interpretation of results in microvascular decompression (MVD) for hemifacial spasm (HFS). The lateral spread response (LSR) is an important monitoring parameter during MVD. [...] Read more.
This review article discusses the clinical significance of intraoperative neurophysiological monitoring (IONM), provides recommendations for monitoring protocols, and considers the interpretation of results in microvascular decompression (MVD) for hemifacial spasm (HFS). The lateral spread response (LSR) is an important monitoring parameter during MVD. It helps to identify the responsible blood vessel and confirms its thorough decompression from the facial nerve. The disappearance of the LSR during surgery is associated with favorable clinical outcomes. Standard and revised monitoring protocols and the confirmation of LSR persistence and disappearance are also discussed. The blink reflex and other facial nerve monitoring modalities, such as free-running electromyography, facial motor evoked potentials, F-waves, and the Z-L response, are further considered. Full article
(This article belongs to the Special Issue Hemifacial Spasm: An Update)
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11 pages, 5669 KiB  
Opinion
Recent Advances in Intraoperative Brainstem Auditory Evoked Potential Monitoring during Microvascular Decompression Surgery for Hemifacial Spasm
by Sang-Ku Park, Hyun Seok Lee, Kyung Rae Cho and Kwan Park
Life 2023, 13(9), 1789; https://doi.org/10.3390/life13091789 - 22 Aug 2023
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Abstract
Brainstem auditory evoked potential (BAEP) testing during microvascular decompression (MVD) is very important in the treatment of hemifacial spasm (HFS). The reason for this is that the vestibulocochlear nerve is located immediately next to the facial nerve, so the vestibulocochlear nerve may be [...] Read more.
Brainstem auditory evoked potential (BAEP) testing during microvascular decompression (MVD) is very important in the treatment of hemifacial spasm (HFS). The reason for this is that the vestibulocochlear nerve is located immediately next to the facial nerve, so the vestibulocochlear nerve may be affected by manipulation during surgery. BAEP testing for detecting vestibulocochlear nerve damage has been further developed for use during surgery. In most HFS patients with normal vestibulocochlear nerves, the degree of vestibulocochlear nerve damage caused by surgery is well-reflected in the BAEP test waveforms. Therefore, real-time testing is the best way to minimize damage to the vestibulocochlear nerve. The purpose of this study was to review the most recently published BAEP test waveforms that were obtained during MVD surgery to determine the relationship between vestibulocochlear nerve damage and BAEP waveforms. Full article
(This article belongs to the Special Issue Hemifacial Spasm: An Update)
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