반측 안면경련증을 위한 미세혈관 감압술 후 지연적으로 발생한 일시적 제6뇌신경 마비

• 영문명: Transient sixth nerve paresis with the delayed onset after microvascular decompression for hemifacial spasm
• 발행기관: 대한두개저학회
• 저자명: 김종원(Jong-won Kim) 박관(Kwan Park)
• 간행물 정보: 『대한두개저학회지』제2권 제2호, 83~85쪽, 전체 3쪽
• 주제분류: 의약학 > 일반외과학
• 파일형태: PDF
• 발행일자: 2007.12.30

영문 초록

Microvascular decompression (MVD) is a safe and effective treatment for hemifacial spasm (HFS). Delayed aducens nerve paresis has been reported with extremely rare incidence as a complication of MVD. We report this rare complication and discuss its pathogenesis and the natural course. A 50-year-old woman underwent MVD for right sided hemifacial spasm. MR images showed right anterior inferior cerebellar artery (AICA) compressing with close proximity to the root exit zone of the ipsilateral facial nerve. The procedure was uneventful. However, she developed delayed sixth nerve paresis on the ipsilateral side three weeks postoperatively and it lasted for four weeks. But it spontaneously resolved after eight weeks from operation. In this case, we can recommend that the risk of transient sixth nerve paresis with the delayed onset should be considered before operation.

목차

Introduction

Case report

Discussion

키워드

Delayed abducens nerve paresis Microvascular decompression Hemifacial spasm Result