Combined Hyperactive Dysfunction Syndrome of the Cranial Nerves: A Retrospective Systematic Study of Clinical Characteristics in 44 Patients

Cao, Jingwei; Jiao, Jie; Du, Zhenhui; Xu, Weiqing; Sun, Bin; Li, Feng; Liu, Yuguang

doi:10.1016/j.wneu.2017.05.020

Cited by 21 publications

(28 citation statements)

References 26 publications

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“…Case series from literature have reported an association with age and female sex. [ 2 11 21 ] Old age may lead to progressive atherosclerotic changes in vascular system leading to elongation of vessels leading to contact with cranial nerves or nerve root entry zone supporting this association. [ 21 ] The dominance of female sex is another interesting association that has been repeatedly reported in the literature.…”

Section: Discussionmentioning

confidence: 97%

“…The combination of HFS and TN also termed as painful tic convulsive is a rare condition. [ 2 11 16 21 22 23 ] Very often posterior fossa mass lesions including tumors and AVM in posterior circulation are found in patients with combined HFS and TN. [ 4 10 18 19 ] In other cases, conditions such as dolichoectasia of vertebrobasilar arteries, small posterior fossa, and Chiari type I malformation have been reported.…”

Section: Discussionmentioning

confidence: 99%

“…[ 12 13 ] There have been few cases reported in different case series or case reports with microvascular confliction causing combined HFS and TN without above pathologies. [ 1 2 6 8 9 11 14 16 21 22 23 ]…”

Section: Discussionmentioning

confidence: 99%

“…[ 21 ] The dominance of female sex is another interesting association that has been repeatedly reported in the literature. [ 2 11 21 23 ] Case-controlled radiological volumetric MRI study showed lower cerebrospinal fluid (CSF) volume in patients with HFS as compared to controls. Interestingly, lower CSF volume was predominantly found in females.…”

Section: Discussionmentioning

confidence: 99%

“…Taking all combined hyperactive cranial nerve syndromes together in about 3% of the cases more than one cranial nerve is involved. [ 2 11 21 ] Although clinical cases of coexisting hemifacial spasm (HFS) and trigeminal neuralgia (TN) have been reported in the literature, however, these cases were often associated with different pathologies including tumors of the posterior fossa, arachnoid cyst, cerebral arteriovenous malformations (AVM), and small posterior fossa including Chiari type I malformation. [ 4 5 10 13 18 19 20 ] In some cases, the shifted basilar or vertebral artery itself or indirectly by pushing the cranial nerves to come in contact with posterior inferior cerebellar artery (PICA), anterior inferior cerebellar artery (AICA), or superior cerebellar artery (SCA) caused the combined HFS and TN.…”

Section: Introductionmentioning

confidence: 99%

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Surgical management of coexisting trigeminal neuralgia and hemifacial spasm

Muhammad¹,

Niemelä²

2018

Surg Neurol Int

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Background:Coexisting hemifacial spasm (HFS) and trigeminal neuralgia (TN) without any mass lesion in the posterior fossa is a rare condition. Hence, the surgical strategy of coexisting HFS and TN has rarely been discussed.Case Description:We present a rare case of coexisting HFS and TN without any mass lesion in posterior fossa having microvascular confliction of trigeminal nerve with superior cerebellar artery (SCA) and facial nerve with anterior inferior cerebellar artery (AICA). Single surgery was performed for both trigeminal nerve and facial nerve. Mobilization of vessels and placement of Teflon between the nerve and vessel relieved the symptoms immediately after the operation. We have reviewed the literature for cases with coexistent HFS and TN. The treatment strategy for such cases has been discussed. The surgical treatment has been demonstrated with a video.Conclusion:A single surgery is a safe and effective option to treat coexistent HFS and TN due to microvascular confliction.

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Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Surgical management of coexisting trigeminal neuralgia and hemifacial spasm

Muhammad¹,

Niemelä²

2018

Surg Neurol Int

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Microvascular decompression for glossopharyngeal neuralgia: a retrospective analysis of 228 cases

Xia

Liu

et al. 2017

Acta Neurochir

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Delirium in neurosurgery: a systematic review and meta-analysis

et al. 2021

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Delirium is a frequent occurring complication in surgical patients. Nevertheless, a scientific work-up of the clinical relevance of delirium after intracranial surgery is lacking. We conducted a systematic review (CRD42020166656) to evaluate the current diagnostic work-up, incidence, risk factors and health outcomes of delirium in this population. Five databases (Embase, Medline, Web of Science, PsycINFO, Cochrane Central) were searched from inception through March 31st, 2021. Twenty-four studies (5589 patients) were included for qualitative analysis and twenty-one studies for quantitative analysis (5083 patients). Validated delirium screening tools were used in 70% of the studies, consisting of the Confusion Assessment Method (intensive care unit) (45%), Delirium Observation Screening Scale (5%), Intensive Care Delirium Screening Checklist (10%), Neelon and Champagne Confusion Scale (5%) and Nursing Delirium Screening Scale (5%). Incidence of post-operative delirium after intracranial surgery was 19%, ranging from 12 to 26% caused by variation in clinical features and delirium assessment methods. Meta-regression for age and gender did not show a correlation with delirium. We present an overview of risk factors and health outcomes associated with the onset of delirium. Our review highlights the need of future research on delirium in neurosurgery, which should focus on optimizing diagnosis and assessing prognostic significance and management.

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Combined Hyperactive Dysfunction Syndrome of the Cranial Nerves: A Retrospective Systematic Study of Clinical Characteristics in 44 Patients

Cited by 21 publications

References 26 publications

Surgical management of coexisting trigeminal neuralgia and hemifacial spasm

Surgical management of coexisting trigeminal neuralgia and hemifacial spasm

Microvascular decompression for glossopharyngeal neuralgia: a retrospective analysis of 228 cases

Delirium in neurosurgery: a systematic review and meta-analysis

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