Microvascular Decompression Surgery
This book provides an essential update on microvascular decompression (MVD) surgery, which has been widely accepted as an effective remedy for cranial nerve hyperexcitability disorders such as hemifacial spasm, trigeminal neuralgia, glossopharyngeal neura
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Microvascular Decompression Surgery
Shi-Ting Li • Jun Zhong Raymond F. Sekula, Jr. Editors
Microvascular Decompression Surgery
Editors Shi-Ting Li Shanghai China
Raymond F. Sekula, Jr. Pittsburgh, PA USA
Jun Zhong Shanghai China
ISBN 978-94-017-7365-2 ISBN 978-94-017-7366-9 DOI 10.1007/978-94-017-7366-9
(eBook)
Library of Congress Control Number: 2015958559 Springer Dordrecht Heidelberg New York London © Springer Science+Business Media Dordrecht 2016 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. Printed on acid-free paper Springer Science+Business Media B.V. Dordrecht is part of Springer Science+Business Media (www.springer.com)
Preface
Microvascular decompression (MVD) has been used to cure tens of thousands of patients since it was introduced in the 1960s. Now it is still the most effective treatment for cranial nerve syndrome caused by vascular compression, including primary trigeminal neuralgia, hemifacial spasm, glossopharyngeal neuralgia, refractory tinnitus, and dizziness. The cure rate for trigeminal neuralgia, hemifacial spasm, and glossopharyngeal neuralgia varies among different centers, but it is over 90 % in most centers and can be as high as 98 %, even though some patients do not have good results, and some patients have recurrence. What’s more, MVD has risks such as facial numbness, hearing loss or deafness, peripheral facial paralysis, dysphagia, and hoarseness. This is mostly because the mechanism by which vascular compression causes cranial nerve syndrome is still unknown. In addition, the real cause of ineffectiveness and recurrence is unknown. Therefore, study on the mechanism and refinement of our surgical techniques may help to improve the overall outcome. As we reviewed the papers in the last 10 years, we found that many experts had been devoted to the study of mechanism, diagnostic criterion, surgical indications, operative techniques, electrophysiological monitoring, outcome evaluation, as well as treatment principles for ineffec
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