Microvascular Decompression In The Treatment Of Cranial Nerve Diseases:Clinical Analysis Of61Cases

Objectives:This article describes the microvascular decompression for the treatment of cranial nerve diseases, and to explore the operation indications, intraoperative "zero stretch" operation, postoperative complications, postoperative recurrence treatment, intraoperative petrosal vein protection and the other problems.Materials and methods:Retrospective analysis61cases of clinical data of patients with cranial nerve diseases from2003August to2012January.They were all treated with microvascular decompression in the Taizhou Central Hospital of Zhejiang Province.Results:In the group of trigeminal nerve,the operation efficiency was96%.1case recurrent during follow-up, recurrence rate was4%. In the group of hemifacial spasm,the operation efficiency was100%. During follow-up, no recurrence occurred. The incidence of postoperative intracranial hypotension in11cases;2cases of fever; herpes labialis in1cases; temporary hearing loss in1case;1case of facial numbness. No patients died.Conclusions:The short term and long term effect of microvascular decompression in the treatment of cranial nerve disease is clear and definite. For the patients with cranial nerve disease,if the drug or percutaneous operation treatment failed, the microvascular decompression is the preferred method of treatment. The key to successful operation is to improve operation skills,prevention and treatment of postoperative complications.