Patients with hemifacial spasm in 4 years, the four medical hospital Datang microvascular decompression for her thorough treatmentShaanxi pr
Patients with hemifacial spasm in 4 years, the four medical hospital Datang microvascular decompression for her thorough treatment
Shaanxi provincial Yip, 50 years old this year, no obvious incentive right eye and mouth repeatedly involuntary twitching for 4 years, the symptoms worsened, outside the hospital diagnosed as "hemifacial spasm", C Masi Bing received oral medication, medication, symptoms without obvious improvement.
In 2011, Ms. ye heard the Tangdu Hospital of The Fourth Military Medical University with surgical treatment of hemifacial spasm, the effect is very good. He deliberately came to hospital outpatient department of Neurosurgery outpatient visits professor Wang Xuelian function, with "hemifacial spasm" hospitalized. After hospitalization, as soon as possible to improve preoperative routine, biochemical examination.
There was no absolute contraindication for the examination, and the head MRI showed the right side of the neurovascular cross. Ms. Ye's facial spasm is vascular, effect of microvascular decompression, surgical indications. Everything is ready before the operation, it will be smooth microvascular decompression, the surgeon Wang Xuelian chief physician.
During the operation, the incision was about 8cm. 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, the separation of the exposed surface of the right side 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 use T dura repair. The connecting piece is fixed with a bone flap, and the fascia, muscle, subcutaneous and skin are sutured in layers. Sterile dressing. Prevention of infection, hemostasis, nutrition nerve and nerve adhesion therapy.
After active treatment, Ms. leaves stable condition, the body is increasingly healthy. At the time of discharge, Ms. Ye consciousness, spirit, appetite, sleep, and normal, no special discomfort. Facial muscle spasm disappeared. The limbs were free and normal. The head wound had stitches, I / a healing.
[PROBLEMS]: case analysis of the early symptoms of facial spasm which performance?
A: when patients with early symptoms, hemifacial spasm symptoms manifested as side orbicularis paroxysmal involuntary twitching, facial muscles and other slowly extended to the side of the face, a muscle twitch will be more noticeable, severe cases may even involve the same side of the platysma.
Symptoms two: the severity of the tic vary, can be manifested as rapid, irregular, paroxysmal convulsions. In the early stages of the disease, the twitch is light, and then extended to a few minutes or longer, intermittent time gradually shortened, convulsions will gradually frequent.
Symptoms three: a convulsion is short for a few seconds, up to more than ten minutes, intermittent period is uncertain, patients often feel upset, unable to study or work, seriously affect the patient's physical and mental health. Most of the patients at sleep after cessation of convulsions.
Four symptoms: bilateral hemifacial spasm symptoms are rare, if both sides are often has onset, most in the side after tic stops, the other side to attack, but the other side of the side of light twitch heavier, at the same time, at the same time, the incidence of bilateral tiqueur reported.
Reminder  Tangdu Hospital of The Fourth Military Medical University by microvascular decompression for hemifacial spasm. Microvascular decompression is the most effective method currently accepted treatment for hemifacial spasm. Tangdu Hospital constantly improve the technology and surgical skills, so that the incidence of surgical complications to a minimum.