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Residual hemifacial spasm after microvascular decompression: prognostic factors with emphasis on preoperative psychological state

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Abstract

Residual hemifacial spasm (HFS) after microvascular decompression (MVD) is common, and the factors associated with residual HFS are still controversial. In the present study, we analyzed the outcome of 212 patients with hemifacial spasm after a single microvascular decompression and evaluated the prognostic factors involved in residual hemifacial spasm. Based on our study, possible prognostic factors included indentation of the root exit zone (REZ), preoperative illness duration, and preoperative psychological state. We suggest that MVD should be performed as early as possible for it may decrease the rate of residual HFS. Preoperative assessment of psychological state in HFS patients is a timely intervention that should be implemented to minimize the residual HFS.

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Conflicts of interest

The authors declare that they have no financial or other conflicts of interest in relation to this research and its publication.

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Authors and Affiliations

  1. Department of Neurosurgery, Renji Hospital, Shanghai Jiao Tong University School of Medicine, 1630, Dongfang Road, Shanghai, 200127, China

    Yichao Jin, Changyi Zhao, Xiaohua Zhang, Yongming Qiu & Jiyao Jiang

  2. Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, 200030, China

    Shanshan Su

Authors
  1. Yichao Jin
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  2. Changyi Zhao
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  3. Shanshan Su
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  4. Xiaohua Zhang
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  5. Yongming Qiu
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  6. Jiyao Jiang
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Corresponding author

Correspondence to Xiaohua Zhang.

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Comments

Andrei Koerbel, Joinville, Brasil

The manuscript entitled “Residual hemifacial spasm after microvascular decompression: prognostic factors with emphasis on preoperative psychological state” aims to identify prognostic factors for residual symptoms after surgical treatment for hemifacial spasm.

The topic is noteworthy since the literature lacks suitable information about psychological evaluation in patients suffering from this disorder. The results and limitations of the study were properly described by the authors.

The authors’ findings match my personal experience. Anxious patients tend to have a higher probability to persist with residual spasms after surgical treatment. In these cases, postoperative treatment with medication for anxiety may lead to relieve these residual symptoms.

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Jin, Y., Zhao, C., Su, S. et al. Residual hemifacial spasm after microvascular decompression: prognostic factors with emphasis on preoperative psychological state. Neurosurg Rev 38, 567–572 (2015). https://doi.org/10.1007/s10143-015-0622-6

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  • DOI: https://doi.org/10.1007/s10143-015-0622-6

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