我是怎么做的：同时微血管减压治疗椎基底动脉扩张性三叉神经痛和面肌痉挛

IF 1.9 3区医学 Q3 CLINICAL NEUROLOGY

Acta Neurochirurgica Pub Date : 2025-09-27 DOI:10.1007/s00701-025-06688-0

Chingiz Nurimanov, Karashash Menlibayeva, Iroda Mammadinova, Yerbol Makhambetov

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引用次数: 0

摘要

背景：同时发生的三叉神经痛（TN）和面肌痉挛（HFS）是罕见的，通常是由椎基底动脉压迫过度扩张引起的。方法59岁男性顽固性TN和HFS患者术前行MRI检查，发现根入口区有神经血管冲突。同时微血管减压（MVD）三叉神经和面神经进行乙状窦后开颅术使用特氟隆填充物。结论在18个月的随访中，患者的症状得到了迅速和持续的缓解。同时MVD是治疗双侧脑神经压迫血管扩张的有效方法。

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How I do it: simultaneous microvascular decompression for dolichoectatic vertebrobasilar artery-associated trigeminal neuralgia and hemifacial spasm

Background

Concurrent ipsilateral trigeminal neuralgia (TN) and hemifacial spasm (HFS) are rare and typically caused by dolichoectatic vertebrobasilar compression.

Method

A 59-year-old male with refractory TN and HFS underwent preoperative MRI revealing neurovascular conflict at the root entry zones. Simultaneous microvascular decompression (MVD) of the trigeminal and facial nerves was performed via a retrosigmoid craniotomy using Teflon padding.

Conclusion

The patient experienced immediate and sustained symptom resolution at the 18-month follow-up. Simultaneous MVD is effective for treating dual cranial nerve compression by dolichoectatic vessels.

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来源期刊

Acta Neurochirurgica 医学-临床神经学

CiteScore

4.40

自引率

4.20%

发文量

342

审稿时长

1 months

期刊介绍： The journal "Acta Neurochirurgica" publishes only original papers useful both to research and clinical work. Papers should deal with clinical neurosurgery - diagnosis and diagnostic techniques, operative surgery and results, postoperative treatment - or with research work in neuroscience if the underlying questions or the results are of neurosurgical interest. Reports on congresses are given in brief accounts. As official organ of the European Association of Neurosurgical Societies the journal publishes all announcements of the E.A.N.S. and reports on the activities of its member societies. Only contributions written in English will be accepted.