Hemifacial spasm: 20-year surgical experience, lesson learned Article Swipe

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Medicine Anterior inferior cerebellar artery Hemifacial spasm Microvascular decompression Superior cerebellar artery Basilar artery Surgery Palsy Posterior inferior cerebellar artery Artery Anesthesia Vertebral artery Facial nerve Aneurysm Pathology Alternative medicine Trigeminal neuralgia

Rogelio Revuelta-Gutiérrez , Hector Soriano-Baron , Olivia Vales‐Hidalgo , Emiliano Arvizu-Saldaña , Sergio Moreno‐Jiménez ·

YOU? · · 2015 · Open Access · · DOI: https://doi.org/10.4103/2152-7806.157443 · OA: W414794842

The anterior inferior cerebellar artery is involved in most cases of hemifacial spasm. Failure to improve postsurgically after 1 week warrants reoperation. Sex, side, and onset are unrelated to treatment response. Microvascular decompression is the preferred treatment. It is minimally invasive, nondestructive, and achieves the best long-term results, with minor morbidity. To our knowledge, this series is the largest to date on a Hispanic population.