Surg Neurol. 1991 Oct;36(4):251-77.

Hemifacial spasm: a review.

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Division of Neurosurgery, Duke University Medical Center, Durham, North Carolina.

Abstract

Hemifacial spasm can be diagnosed by observation and clinical history. It is thought to arise primarily from compression of the facial nerve at the pons, usually by an adjacent artery. Although many approaches to treatment have been tried, the most effective is microvascular decompression of the facial nerve at the pons. That operation has well-recognized risks, including ipsilateral deafness. The latter complication ordinarily can be avoided by the use of intraoperative monitoring of auditory evoked potentials.

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Monitoring facial EMG responses during microvascular decompression operations for hemifacial spasm. [J Neurosurg. 1987]
Monitoring facial EMG responses during microvascular decompression operations for hemifacial spasm.
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Cited by 9 PubMed Central articles

Hemifacial spasm as a manifestation of pilocytic astrocytoma in a pediatric patient. [J Pediatr Neurosci. 2011]
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Masruha MR, Fialho LM, da Nóbrega MV, Lin J, Pinho RS, Cavalheiro S, Vilanova LC. J Pediatr Neurosci. 2011 Jan; 6(1):72-3.
Adhesion of rhomboid lip to lower cranial nerves as special consideration in microvascular decompression for hemifacial spasm: Report of two cases. [Surg Neurol Int. 2010]
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Funaki T, Matsushima T, Masuoka J, Nakahara Y, Takase Y, Kawashima M. Surg Neurol Int. 2010 Nov 18; 1:71. Epub 2010 Nov 18.
Time course of symptom disappearance after microvascular decompression for hemifacial spasm. [J Korean Neurosurg Soc. 2008]
Time course of symptom disappearance after microvascular decompression for hemifacial spasm.
Oh ET, Kim E, Hyun DK, Yoon SH, Park H, Park HC. J Korean Neurosurg Soc. 2008 Oct; 44(4):245-8. Epub 2008 Oct 30.

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