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논문 기본 정보

자료유형
학술저널
저자정보
Kang, Young-Soo (Department of Neurosurgery, Fatima Hospital) Lee, Hyuk-Gee (Department of Neurosurgery, Fatima Hospital) Ryu, Kee-Young (Department of Neurosurgery, Fatima Hospital) Cho, Jae-Hoon (Department of Neurosurgery, Fatima Hospital) Kang, Dong-Gee (Department of Neurosurgery, Fatima Hospital) Kim, Sang-Chul (Department of Neurosurgery, Fatima Hospital)
저널정보
대한신경외과학회 대한신경외과학회지 대한신경외과학회지 제39권 제4호
발행연도
2006.1
수록면
265 - 270 (6page)

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Objective : Microvascular decompression[MVD] at root exit zone[REZ] of the facial nerve has been largely popularized and it has become the standard treatment for patients with hemifacial spasm[HFS]. This sturdy is performed to evaluate the efficacy of MVD over the course of time. Methods : From 1994 to 2003, 50 patients with HFS who underwent MVD were followed up for more than 6 months. We retrospectively analyzed results with medical records and telephone researches. Results : The mean age of patients at the time operation was 57.6 years and 84% of the patients were female. The mean duration of follow-up after operation was 3.4 years [range $0.5{\sim}7.8\;years$]. One day after MVD, 54% of patients had complete relief of spasm immediately. Continuous improvements of HFS were observed during the follow-up period and these improvements were statistically significant with time (P< 0.05). Until 6 months after operation, complete relief of spasm was observed in 84% of patients. The delayed relief of spasm was observed in 35.7% of our patients who experienced complete relief. Conclusion : The efficacy of MVD in HFS is improves with time. Continuous follow-up evaluations for the duration of more than at least 6 months after MVD are important for the decision of its clinical results because delayed relief of spasms occurs.

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