Microvascular decompression and aneurysm clipping for a patient with hemifacial spasm and ipsilateral labyrinthine artery aneurysm: A rare case report and literature review

Yufei Liu; Fanfan Chen; Zongyang Li; Jihu Yang; Xiejun Zhang; Lei Chen; Liwei Zhang; Guodong Huang

doi:10.1111/cns.13783

Microvascular decompression and aneurysm clipping for a patient with hemifacial spasm and ipsilateral labyrinthine artery aneurysm: A rare case report and literature review

CNS Neurosci Ther. 2022 Feb;28(2):307-309. doi: 10.1111/cns.13783. Epub 2021 Dec 24.

Authors

Yufei Liu^{1

2}, Fanfan Chen¹, Zongyang Li¹, Jihu Yang¹, Xiejun Zhang¹, Lei Chen¹, Liwei Zhang², Guodong Huang¹

Affiliations

¹ Neurosurgical Department, The First Affiliated Hospital of Shenzhen University, Shenzhen Second People's Hospital, Shenzhen, China.
² Neurosurgical Department, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.

Abstract

Preoperative MRI results showed a vascular anomaly at the REZ of the left facial nerve (Figure A) and an anomaly at the internal auditory canal (Figure B). The left AICA was identified as the offending vessel compressing the left facial nerve at the REZ (Figure C). After the artery was dissociated and Teflon felt was placed between the involved vessel and the facial nerve (Figure D), electrophysiological monitoring indicated that the AMR had disappeared (Figure E).

Keywords: aneurysm; case report; hemifacial spasm; microvascular decompression.

Publication types

Case Reports
Letter
Review

MeSH terms

Female
Hemifacial Spasm / etiology
Hemifacial Spasm / surgery*
Humans
Intracranial Aneurysm / complications
Intracranial Aneurysm / surgery*
Microvascular Decompression Surgery*
Middle Aged
Neurosurgical Procedures*