Endovascular Flow Diversion for Hemifacial Spasm Induced by a Vertebral Artery Aneurysm: First Experience. Issue 3 (24th November 2018)

• Record Type: Journal Article
• Authors: Santiago-Dieppa, David R; McDonald, Marin A; Brandel, Michael G; Rennert, Robert C; Khalessi, Alexander A; Olson, Scott E
• Is Part Of: Operative neurosurgery. Volume 17:Issue 3(2019)
• Page Start: E115
• Page End: E118
• Publication Date: 2018-11-24
• Subjects: Flow diversion -- Hemifacial spasm -- Aneurysm -- Vascular disorders; Nervous system -- Surgery -- Periodicals; 617.480590
• DOI: 10.1093/ons/opy359
• Languages: English
• ISSNs: 2332-4252

Abstract

Abstract: BACKGROUND AND IMPORTANCE: Flow diversion for the treatment of aneurysm-induced hemifacial spasm (HFS) has not been previously described. CLINICAL PRESENTATION: The authors present the case of a 60-yr-old woman who presented with 1 yr of progressive left HFS secondary to a vertebral artery aneurysm compressing the root entry zone of cranial nerve VII. The patient's aneurysm was successfully treated with a flow diverting stent. CONCLUSION: In the immediate postoperative period, the patient had near complete resolution of her HFS symptoms. At her 6-mo follow-up the patient had no angiographic filling of the aneurysm and her HFS symptoms had completely resolved.