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Serious Complications of Microvascular Decompression Operations for Trigeminal Neuralgia and Hemifacial Spasm.

Hanakita, Junya M.D.; Kondo, Akinori M.D.
Experimental and clinical studies: PDF Only

: Serious complications of microvascular decompression operations for trigeminal neuralgia or hemifacial spasm are reported. Among 278 patients who underwent microvascular decompression, 9 serious complications were observed: 1 intracerebellar hematoma with acute hydrocephalus, 1 cerebellar swelling with acute hydrocephalus, 1 supratentorial acute subdural hematoma, 2 status epilepticus, 1 infarction of the brain stem, 1 subarachnoid hemorrhage due to traumatic aneurysm, and 1 infarction in the territory of the posterior cerebral artery. Of the 9 patients with such complications, 2 died. The possible causes of such serious complications are discussed. (Neurosurgery 22:348-352, 1988)

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