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Bioglue-Coated Teflon Sling Technique in Microvascular Decompression for Hemifacial Spasm Involving the Vertebral Artery

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dc.contributor.authorLee, SH-
dc.contributor.authorPark, JS-
dc.contributor.authorAhn, YH-
dc.date.accessioned2018-05-04T00:23:59Z-
dc.date.available2018-05-04T00:23:59Z-
dc.date.issued2016-
dc.identifier.issn2005-3711-
dc.identifier.urihttp://repository.ajou.ac.kr/handle/201003/14788-
dc.description.abstractOBJECTIVE: Microvascular decompression (MVD) for hemifacial spasm (HFS) involving the vertebral artery (VA) can be technically challenging. We investigated the therapeutic effects of a bioglue-coated Teflon sling technique on the VA during MVD in 42 cases. METHODS: A bioglue-coated Teflon sling was crafted by the surgeon and applied to patients in whom neurovascular compression was caused by the VA. The radiologic data, intra-operative findings with detailed introduction of the procedure, and the clinical outcomes of each patient were reviewed and analyzed. RESULTS: The 42 patients included in the analysis consisted of 22 females and 20 males, with an average follow-up duration of 76 months (range 24-132 months). Intraoperative investigation revealed that an artery other than the VA was responsible for the neurovascular compression in all cases : posterior inferior cerebellar artery (PICA) in 23 patients (54.7%) and anterior inferior cerebellar artery (AICA) in 11 patients (26.2%). All patients became symptom-free after MVD. Neither recurrence nor postoperative neurological deficit was noted during the 2-year follow-up, except in one patient who developed permanent deafness. Cerebrospinal fluid (CSF) leak occurred in three patients, and one required dural repair. CONCLUSION: Transposition of the VA using a bioglue-coated Teflon sling is a safe and effective surgical technique for HFS involving the VA. A future prospective study to compare clinical outcomes between groups with and without use of this novel technique is required.-
dc.language.isoen-
dc.titleBioglue-Coated Teflon Sling Technique in Microvascular Decompression for Hemifacial Spasm Involving the Vertebral Artery-
dc.typeArticle-
dc.identifier.pmid27651870-
dc.identifier.urlhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5028612/-
dc.subject.keywordBioglue-
dc.subject.keywordHemifacial spasm-
dc.subject.keywordMicrovascular decompression-
dc.subject.keywordSling-
dc.subject.keywordTeflon-
dc.subject.keywordVertebral artery-
dc.contributor.affiliatedAuthor안, 영환-
dc.type.localJournal Papers-
dc.identifier.doi10.3340/jkns.2016.59.5.505-
dc.citation.titleJournal of Korean Neurosurgical Society-
dc.citation.volume59-
dc.citation.number5-
dc.citation.date2016-
dc.citation.startPage505-
dc.citation.endPage511-
dc.identifier.bibliographicCitationJournal of Korean Neurosurgical Society, 59(5). : 505-511, 2016-
dc.identifier.eissn1598-7876-
dc.relation.journalidJ020053711-
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Journal Papers > School of Medicine / Graduate School of Medicine > Neurosurgery
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