Delayed facial palsy after microvascular decompression for hemifacial spasm

Delayed facial palsy after microvascular decompression for hemifacial spasm

Delayed facial palsy after microvascular decompression for hemifacial spasm can occur even when hemifacial spasms disappear immediately after microvascular decompression, but the patients with delayed facial palsy can fully recover within weeks 1) 2).

The earlier that DFP develops, the shorter will be the time to recovery 3). Results also suggest that arterial hypertension contributes to DFP 4).

Findings suggested that delayed facial palsy after MVD was caused by a re-activation of varicella zoster virus 5).

The etiology of DFP and its association with herpes infection should be further clarified 6).


1)

Lee JM, Park HR, Choi YD, Kim SM, Jeon B, Kim HJ, Kim DG, Paek SH. Delayed facial palsy after microvascular decompression for hemifacial spasm: friend or foe? J Neurosurg. 2018 Aug;129(2):299-307. doi: 10.3171/2017.3.JNS162869. Epub 2017 Sep 1. PMID: 28862543.
2)

Hua Z, Da TY, Hui WX, Tingting Y, Jin Z, Yan Y, Shiting L. Delayed Facial Palsy After Microvascular Decompression for Hemifacial Spasm. J Craniofac Surg. 2016 May;27(3):781-3. doi: 10.1097/SCS.0000000000002521. PMID: 27046467.
3)

Kong CC, Guo ZL, Xu XL, Yu YB, Yang WQ, Wang Q, Zhang L. Delayed Facial Palsy After Microvascular Decompression for Hemifacial Spasm. World Neurosurg. 2020 Feb;134:e12-e15. doi: 10.1016/j.wneu.2019.08.105. Epub 2019 Aug 26. PMID: 31465849.
4)

Liu LX, Zhang CW, Ren PW, Xiang SW, Xu D, Xie XD, Zhang H. Prognosis research of delayed facial palsy after microvascular decompression for hemifacial spasm. Acta Neurochir (Wien). 2016 Feb;158(2):379-85. doi: 10.1007/s00701-015-2652-9. Epub 2015 Dec 11. PMID: 26659255.
5)

Furukawa K, Sakoh M, Kumon Y, Teraoka M, Ohta S, Ohue S, Hatoh N, Ohnishi T. [Delayed facial palsy after microvascular decompression for hemifacial spasm due to reactivation of varicella-zoster virus]. No Shinkei Geka. 2003 Aug;31(8):899-902. Japanese. PMID: 12968493.
6)

Rhee DJ, Kong DS, Park K, Lee JA. Frequency and prognosis of delayed facial palsy after microvascular decompression for hemifacial spasm. Acta Neurochir (Wien). 2006 Aug;148(8):839-43; discussion 843. doi: 10.1007/s00701-006-0847-9. Epub 2006 Jun 29. PMID: 16804640.

Leave a Reply

This site uses Akismet to reduce spam. Learn how your comment data is processed.

WhatsApp WhatsApp us
%d bloggers like this: