A successful treatment of hemifacial spasm due to anterior inferior cerebellar artery aneurysm in adolescent: a case report and literature review

Chang, Bowen; Tang, Yinda; Li, Yanzhen; Zhu, Jin; Zheng, Xuan; Li, Shiting

doi:10.1007/s00381-020-04691-7

Cited by 2 publications

(1 citation statement)

References 11 publications

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“…Four cases have been reported to date ( Table 1 ) ( 11 , 12 ). Most vertebral saccular aneurysms with HFS can be clipped by craniotomy, and the REZ region can be explored at the same time to separate the aneurysm from the adhesion of the facial nerve root, which can cure both aneurysm and HFS ( 11 , 13 ). However, because most vertebral aneurysms are fusiform and direct clipping is difficult, the majority of them were treated with isolated and interventional embolization ( 14 ).…”

Section: Discussionmentioning

confidence: 99%

Hemifacial spasm caused by unruptured fusiform vertebral aneurysm treated with endovascular coil embolization: a case report

He¹,

Li²,

Jiang³

2023

Front. Neurol.

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Hemifacial spasm due to fusiform aneurysm of the vertebral artery is extremely rare. The lateral spread response (LSR) is routinely used to monitor hemifacial spasms during microvascular decompression to predict the degree of postoperative remission of hemifacial spasm. We report a case of hemifacial spasm caused by an unruptured fusiform vertebral aneurysm treated with intravascular intervention and monitoring of LSR. A 59-year-old man was admitted to the hospital with a left facial spasm that gradually worsened for 1 year. Preoperative cerebrovascular angiography indicated fusiform aneurysms in the intracranial segment of the left vertebral artery close to the left facial nerve. The patient underwent parent artery occlusion and aneurysm embolization, and LSR was monitored intraoperatively. After intraoperative aneurysm embolization, LSR disappeared immediately. The postoperative review of cerebrovascular angiography indicated that the parent artery and aneurysm were embolized successfully, and the patient's left facial spasm was relieved after surgery. Hemifacial spasm caused by the vertebral artery fusiform aneurysm can be safely and effectively treated by parent artery occlusion and aneurysm embolization. Meanwhile, intraoperative LSR monitoring can be used to predict postoperative efficacy.

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Section: Discussionmentioning

confidence: 99%