Is hypertension a risk factor of hemifacial spasm?

Rudzińska, Monika; Wójcik-Pędziwiatr, Magdalena; Malec-Litwinowicz, Michalina; Grabska, Natalia; Hartel, Marcin; Flak, Maria; Szczudlik, Andrzej

doi:10.1016/j.pjnns.2015.11.002

Cited by 8 publications

(2 citation statements)

References 29 publications

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“…According to Liu et al (27), the disease affects patients between the fourth and fifth decades of life and usually presents a mean duration of six years in all operated patients. Additionally, it is also believed that some individuals present risk factors for higher rates of surgical failure or recurrence due to stronger compression of the nerve, such as arterial hypertension, diabetes, and morbid obesity (30,31). In the present study, most patients were female, were in the fifth decade of life and presented more frequently right sided symptoms with mean duration of 6.8 years before surgery.…”

Section: Discussionmentioning

confidence: 49%

Surgical Outcome of Microvascular Decompression for Hemifacial Spasm: Symptom Control and Quality of Life

Rodrigues,

Meguins,

Spotti

et al. 2023

Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery

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Introduction Hemifacial spasm (HFS) is characterized by a segmental myoclonus of the face muscles innervated by the ipsilateral facial nerve. The accepted pathophysiology of HFS suggests that it is a disease process of the nerve root entry zone associated with any neuro-vascular conflict. Aim Review the surgical results and outcome regarding spasm control, post-operative quality of life and morbidity of microvascular decompression (MVD) for HFS from a Brazilian neurosurgical team. Method An observational investigation was conducted with data collection from patients with hemifacial spasm treated with MVD from January 2000 to December 2015 in two different centers in the West of São Paulo State, Brazil. Results A total of 152 patients underwent MVD for the treatment of HFS, ninety-eight (64.5%) female. Eighty-seven (57.2%) patients presented right-side spasms. The most common offending vessel was the posterior inferior cerebellar artery (PICA) with 78 (51.3%) patients. According to clinical presentation, an amount of 144 (94.7%) patients presented total control of symptoms after 36 months of follow-up. Regarding quality of life, a total of 125 (82.2%) patients referred normal quality of life after MVD for HFS and 121 (96.8%) from then were able to return to work or previous occupation. Permanent facial paresis / palsy was observed in 6 (3.6%) patients. There was no surgical mortality. Conclusion MVD for the treatment of HFS is a safe and efficacious surgical procedure to control spasm. Neurosurgeons experience, adequate patient selection and good anatomical knowledge are fundamental to success of the treatment.

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Section: Discussionmentioning

confidence: 49%

Surgical Outcome of Microvascular Decompression for Hemifacial Spasm: Symptom Control and Quality of Life

Rodrigues,

Meguins,

Spotti

et al. 2023

Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery

View full text Add to dashboard Cite

show abstract

“…Previous studies have also focused on the association between vascular dolichoectasia and HFS, concluding that dolichoectasia is usually associated with HTN. 26 27 However, conflicting results have been obtained regarding the relationship between HFS and HTN, 28 29 30 and no study has focused on HTN and spasm severity in patients with HFS. Future studies investigating the association between HTN and HFS pathophysiology will help to elucidate this relationship.…”

Section: Discussionmentioning

confidence: 99%

Severe Hemifacial Spasm is a Predictor of Severe Indentation and Facial Palsy after Microdecompression Surgery

Cho

Park

et al. 2018

J Clin Neurol

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Background and PurposeHemifacial spasm (HFS) is mostly caused by the compression of the facial nerve by cerebral vessels, but the significance of spasm severity remains unclear. We investigated the clinical significance of spasm severity in patients with HFS who underwent microvascular decompression (MVD).MethodsWe enrolled 636 patients with HFS who underwent MVD between May 2010 and December 2013 at Samsung Medical Center (SMC), Seoul, Korea. Subjects were divided into two groups based on spasm severity: severe (SMC grade 3 or 4) and mild (SMC grade 1 or 2). We compared demographic, clinical, and surgical data between these two groups.ResultsThe severe-spasm group was older and had a longer disease duration at the time of MVD compared to the mild-spasm group. Additionally, hypertension and diabetes mellitus were more common in the severe-spasm group than in the mild-spasm group. Regarding surgical findings, there were more patients with multiple offending vessels and more-severe indentations in the severe-spasm group than in the mild-spasm group. Even though the surgical outcomes did not differ, the incidence of delayed facial palsy after MVD was higher in the severe-spasm group than in the mild-spasm group. Logistic regression analysis showed that severe-spasm was correlated with longer disease duration, hypertension, severe indentation, multiple offending vessels, and delayed facial palsy after MVD.ConclusionsSpasm severity does not predict surgical outcomes, but it can be used as a marker of pathologic compression in MVD for HFS, and be considered as a predictor of delayed facial palsy after MVD.

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Ventrolateral medullary compression by vascular contact in primary hemifacial spasm: a radiological analysis

Anudeep,

Karthik,

Holla

et al. 2024

Neurol Sci

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Is hypertension a risk factor of hemifacial spasm?

Abstract: The prevalence of AH in HFS patients does not differ from controls. The VLM compression in HFS patients and controls is related to AH diagnosis. The association between AH and VLM compression is stronger in patients with higher degree of VLM compression.

Cited by 8 publications

References 29 publications

Surgical Outcome of Microvascular Decompression for Hemifacial Spasm: Symptom Control and Quality of Life

Surgical Outcome of Microvascular Decompression for Hemifacial Spasm: Symptom Control and Quality of Life

Severe Hemifacial Spasm is a Predictor of Severe Indentation and Facial Palsy after Microdecompression Surgery

Ventrolateral medullary compression by vascular contact in primary hemifacial spasm: a radiological analysis

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