Wang in 2010 no significant incentives in the left corner of the eye and mouth repeatedly involuntary twitching, with facial numbness, no pa
Wang in 2010 no significant incentives in the left corner of the eye and mouth repeatedly involuntary twitching, with facial numbness, no pain, no vision and hearing, the rest can be alleviated, the local diagnosis of hemifacial spasm, for further diagnosis and treatment in our hospital, outpatient clinic in the diagnosis of hemifacial spasm admitted.
Wang, 51 years old, male, born in Shanxi, because the left facial muscles paroxysmal involuntary twitching two years was admitted to hospital on May 2012.
History: 2010 no significant incentives in the left corner of the eye mouth and repeated involuntary twitching, with facial numbness, no pain, no vision and hearing, the rest can be alleviated, the local diagnosis of hemifacial spasm, for further diagnosis and treatment in our hospital, outpatient clinic in the diagnosis of hemifacial spasm admitted.
After admission, head MRI (magnetic resonance imaging) plain scan of the left side of the nerve root blood vessels ride. The diagnosis of patients with hemifacial spasm of the clear, our hospital for diagnosis and treatment plan for patients: actively improve hematuria stool test, liver function, blood glucose, electrolytes, blood coagulation function test, and electrocardiogram, chest X-ray, such as no contraindication, undergoing surgical treatment plans.
What operation can effectively solve the hemifacial spasm?
After Wang admitted the results of the examination without abnormal conditions, our hospital as soon as possible arrangements for patients with microvascular decompression. According to the study found: 90% patients with hemifacial spasm onset is due to vascular compression of the nerve caused by microvascular decompression is the use of microsurgical technique, intraoperative observation and blood vessel carefully to find the nerve, and then put the materials between blood vessels and nerve decompression, which achieved postoperative convulsions disappeared.
Microvascular decompression procedure (patient: Wang)
Today patients undergoing microvascular decompression, general anesthesia satisfaction, patients take the right position, fixed on the frame, the conventional disinfection shop single. Left mastoid approach, incision length of about 6cm. Cut the scalp to the skin, and the muscle is separated from the muscle. A retractor, exposed surface of the skull. Skull drilling 3 holes, rongeur bite skull 2.0cm*2.5cm size of bone flap, bone window size is about 3.5cm*3.5cm, pay attention to the protection of the transverse sinus and sigmoid sinus. "Ten" incision of the dura mater, the release of part of the cerebrospinal fluid, pulled back to the cerebellum, the separation of the left side of the exposed surface of the auditory nerve, see its roots have a small blood vessel ride, carefully separated, pad into small pieces of gasket. The operation area was strictly hemostatic, no active bleeding, suture dura mater, and repaired with artificial dura mater. The connecting piece is fixed with a bone flap, and the subcutaneous drainage tube is retained. Layered suture fascia, muscle, subcutaneous and skin. Sterile dressing.
Through recording we learned of microvascular decompression for hemifacial spasm not only minimally invasive, the wound is small, and does not damage any facial nerve tissue, retain the integrity and function of the facial nerve, the safety is very high. The most important thing is that through surgery, the patient can feel the first time convulsions disappear, just as Wang, said after the recovery of anesthesia in the face for two years, the symptoms have disappeared.