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面肌痉挛显微血管减压术后的延迟治愈现象

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Author:: No author available

Journal Title:: Chinese Journal of Neurosurgery

Issue:: 3

DOI:: 10.3760/cma.j.issn.1001-2346.2014.03.033

Key Word:: No keyword available

Abstract： 1884年Gowers[1]首先描述了单侧面神经分布区域的肌肉不自主抽动的症状,从此引发了众多学者对面肌痉挛(hemifacial spasm,HFS)的病因学及治疗方法的逐步深入研究.显微血管减压术(microvascular decompression,MVD)做为从病因学上治愈面肌痉挛的唯一方式,已得到广泛的认可和推广[2].面肌痉挛患者在接受显微血管减压术后,多数患者的面部抽动会立即消失,但少部分患者的面部抽动不是立即停止,而是经过一段时间后才会逐步消失,这种现象称为“延迟治愈(delayed resolution)”[3].目前对于面肌痉挛患者的“延迟治愈”现象,尚无学者对其病理及病程特点进行很好的分析和分类,导致了对于显微血管减压术后面部仍有抽动的面肌痉挛患者,如何判断其长期预后、如何界定再次接受手术的时机等方面存在巨大争议.

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