Management of Bilateral Hemifacial XXXX with Microvascular Decompression.

@entity1 @entity5663 @entity2473 @entity3541 @entity393
BACKGROUND: Bilateral hemifacial @entity2473 (HFS) is very rare. The literature contains only 32 clinical reports. Although @entity5663 ( @entity5663 ) is widely accepted as effective therapy for HFS, the etiology and surgical treatment of bilateral HFS are seldom addressed. We report our experience with @entity5663 for @entity1 with bilateral HFS. METHODS: This retrospective report included 10 @entity1 with bilateral HFS. All @entity1 underwent @entity5663 1 or 2 times and were followed for 5-92 months. The clinical data were retrospectively analyzed. The etiology and treatment strategies were discussed. RESULTS: @entity2473 stopped completely on the operative side in all 10 @entity1 . Symptoms on the other side also resolved in 3 @entity1 , improved in 1 @entity1 , and did not improve at all in 6 @entity1 . Of the 6 @entity1 with no improvement, 5 underwent another @entity5663 on the contralateral side within 1 year and experienced relief of symptoms, and 1 @entity1 refused the surgery. The neurovascular conflict was found in all the operations. During the follow-up period, no complications of @entity393 or @entity3541 and no recurrence were observed. CONCLUSIONS: Vascular compression was the cause of bilateral HFS in our @entity1 , and @entity5663 relieved the symptoms. Thus, we recommend @entity5663 for @entity1 with bilateral HFS. A crowded cerebellopontine angle space and easy attrition of the neurovascular interfaces may play important roles in the occurrence of bilateral HFS. For some @entity1 , 1 @entity5663 can resolve bilateral symptoms.
