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Among of them 5 patients awoked with spasm from anesthesia of MVD ( immediate type ), and 15 patients experienced of recurrence of spasm between post operative 2 days to 7 days ( early type ). In our cases recurrence of spasm after two weeks had not been encountered ( late type ). Five of all immediate type and 3 of early type had second operation of MVD during the period of post operative 2 day to 4 months and their spasm was completely relieved in immediate fashion. By course observation of 13 early type, the spasm of 8 patients disappeared gradually within two weeks, in 2 patients relief of spasm needed 6 months respectively, in 2 patients their spasm continued during the followup of 22 months and 28 months. One patient whose offending vessel was not identified by MVD had no relief of spasm. In summary HFS was completely relieved in 129 patients ( 97.7% ) at the follow-up period ranging lyear to 8 years. According to author\u0027s experience of second operation of MVD, the causes of recurrence of spasm were found as follow, in 3 cases driving force of vertebral artery pulsation beeing reached to root exit zone through prosthesis, missing of another offending artery in 2, missing of other compression at more proximal site in 2, inappropriate size and location of prosthesis in 1. 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顔面痙攣血管除圧手術 : 再発原因と再発予防および合併症発生予防のための手術留意点
https://sapmed.repo.nii.ac.jp/records/8036
https://sapmed.repo.nii.ac.jp/records/80363d8d549d-0aa1-42b1-a557-0fbba9e1a4bb
名前 / ファイル | ライセンス | アクション |
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n1340576431100.pdf (1.2 MB)
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2009-03-24 | |||||
タイトル | ||||||
言語 | ja | |||||
タイトル | 顔面痙攣血管除圧手術 : 再発原因と再発予防および合併症発生予防のための手術留意点 | |||||
言語 | ||||||
言語 | jpn | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | hemifacial spasm | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | microvascular decompression | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | complication | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | recurrence | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | result | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | journal article | |||||
著者 |
堀田, 隆史
× 堀田, 隆史× 中村, 順一× 末松, 克美 |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | One hundred and thirty two patients with typical hemifacial spasm (HFS) were treated by microvascular decompression (MVD) of root exit zone of facial nerve. Among of them 5 patients awoked with spasm from anesthesia of MVD ( immediate type ), and 15 patients experienced of recurrence of spasm between post operative 2 days to 7 days ( early type ). In our cases recurrence of spasm after two weeks had not been encountered ( late type ). Five of all immediate type and 3 of early type had second operation of MVD during the period of post operative 2 day to 4 months and their spasm was completely relieved in immediate fashion. By course observation of 13 early type, the spasm of 8 patients disappeared gradually within two weeks, in 2 patients relief of spasm needed 6 months respectively, in 2 patients their spasm continued during the followup of 22 months and 28 months. One patient whose offending vessel was not identified by MVD had no relief of spasm. In summary HFS was completely relieved in 129 patients ( 97.7% ) at the follow-up period ranging lyear to 8 years. According to author's experience of second operation of MVD, the causes of recurrence of spasm were found as follow, in 3 cases driving force of vertebral artery pulsation beeing reached to root exit zone through prosthesis, missing of another offending artery in 2, missing of other compression at more proximal site in 2, inappropriate size and location of prosthesis in 1. The operation strategy for achievement of excellent result of MVD and for preventing of complication is discussed. | |||||
書誌情報 |
北海道脳神経疾患研究所医誌 = Journal of Hokkaido Brain Research Foundation 巻 3, 号 1, p. 100-108, 発行日 1990-08-01 |
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ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 1340-5764 | |||||
著者版フラグ | ||||||
出版タイプ | VoR | |||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
その他のタイトル | ||||||
その他のタイトル | Microvascular Decompression Surgery for Hemifacial Spasm ー The Causes of Recurrence and Operation Stratagems for Achievement of Excellent Result and for Prevention of Complication ー | |||||
出版者 | ||||||
出版者 | 中村記念病院 |