[Long-term results of microvascular decompression in treatment of hemifacial XXXX ].

@entity1 @entity129 @entity308 @entity5 @entity2103 @entity2473 @entity531 @entity8682
BACKGROUND: Aim of the study was to assess results of treatment and quality of life of @entity1 with hemifacial @entity2473 (HFS) after microvascular decompression and to analyze intraoperative data in surgical revision of intracranial portion of @entity2103 . MATERIALS AND METHODS: The study included 30 @entity1 with HFS who underwent microvascular decompression. Duration of symptoms varied between 1 and 30 years (mean--6.7 years). Typical manifestation of @entity2473 was observed in 28 cases, atypical--in 22. Severity of @entity8682 and its influence on everyday activity were assessed using 5-grade scale (by E. Tan), and surgical results--according to degree of clinical improvement combined with evaluation of quality of life using scale HFS-7. RESULTS. Most frequent type of conflict observed in the series was contact between @entity2103 and AICA (64.4%). Compression of @entity2103 root entry zone was revealed in vast majority of cases (93.3%), and in 2 @entity1 (6.7%) site of compression was distal to the root entry zone. In a female @entity1 with secondary HFS due to the @entity5 relations of @entity531 were altered and their displacement produced conflict between AICA loop and @entity2103 . In our series @entity308 of different severity was observed in 16.7% of @entity1 . This disorder is persistent and does not regress in the follow-up period. All other symptoms of @entity129 are amenable to resolve within 1-2 months. CONCLUSION: Microvascular decompression of @entity2103 is pathogenetically feasible and effective method of treatment of HFS. It allows achievement of consistent regression of symptoms and improvement of quality of life of @entity1 with HFS.
