Necrotizing Teflon Granuloma After Microvascular Decompression and Gamma Knife

Bigder, Mark; Matsuda, Kyle; Kaufmann, Anthony M.

doi:10.1017/cjn.2017.212

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2024

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“…In only rare cases will a delayed reaction be encountered, with granuloma leading to symptomatic inflammation. 43 Nevertheless, it is advisable to minimize the volume of Teflon particularly in contact with the fREZ. Positioning of the implants should avoid, as much as possible, direct contact with the nerve.…”

Section: Approach To Mvdmentioning

confidence: 99%

Hemifacial spasm: a neurosurgical perspective

Kaufmann

2024

Journal of Neurosurgery

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Hemifacial spasm (HFS) causes both physical and psychological disabilities that significantly impact quality of life. Medical management with serial botulinum toxin injections provides transient spasm relief and is widely reported as highly effective, as compared to no treatment. While there is an excellent potential for disease cure with microvascular decompression (MVD) surgery, utilization rates remain very low in North America (approximately 10%) and many patients are not adequately informed of this surgical option. Although the majority of MVD neurosurgeons maintain a low annual case volume, excellent safety and success rates can be achieved with attention to technical nuances and anatomical appreciation of the target facial root exit zone. Attention to better informing patients and optimizing surgical outcomes should lead to a greater role for neurosurgery in the treatment and cure of HFS.

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Section: Approach To Mvdmentioning

confidence: 99%