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Prognostic Factors of Hemifacial Spasm after Microvascular Decompression

Kim, Hong-Rae    (Department of Neurosurgery, Samsung Medical Center, Sungkyunkwan University School of Medicine   ); Rhee, Deok-Joo    (Department of Neurosurgery, Samsung Medical Center, Sungkyunkwan University School of Medicine   ); Kong, Doo-Sik    (Department of Neurosurgery, Samsung Medical Center, Sungkyunkwan University School of Medicine   ); Park, Kwan    (Department of Neurosurgery, Samsung Medical Center, Sungkyunkwan University School of Medicine  );
  • 초록

    Objective : The factors that influence the prognosis of patients with hemifacial spasm (HFS) treated by microvascular decompression (MVD) have not been definitely established. We report a prospective study evaluating the prognostic factors in patients undergoing MVD for HFS. Methods : From January 2004 to September 2006, the authors prospectively studied a series of 293 patients who underwent MVD for HFS. We prospectively analyzed a number of variables in order to evaluate the predictive value of independent variables for the prognosis of patients undergoing MVD. The patients were followed-up at regular intervals and divided into as cured and unsatisfactory groups based on symptom relief. Uni- and multivariate analyses were performed using logistic regression models. Results : A total 273 of 293 (94.2%) patients achieved symptom relief within one year after the operation. Intraoperatively, the indentation of the root exit zone was observed in 259 (88.5%) patients. Uni- and multivariate analyses revealed that the symptoms at postoperative 3 months (p


  • 주제어

    Hemifacial spasm .   Microvascular decompression .   Prognosis .   Chronology.  

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