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Treatment of Venous Hemorrhage Between Vestibulocochlear Nerve and Hypertrophic Flocculus During Microvascular Decompression Procedure for Hemifacial Spasm

Wei, Xiangyu MD; Zheng, Xuesheng MD; Chen, Zheng MS; Yuan, Yan BS; Li, Shiting MD

doi: 10.1097/SCS.0000000000005558
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Hemifacial spasm is a kind of painless, intermittent, involuntary, and irregular unilateral facial muscles convulsion. Microvascular decompression has become the standard surgical procedure for hemifacial spasm after years of popularization and development. In the article, the authors described in detail a therapeutic strategy for rapid intracranial venous bleeding between vestibulocochlear nerve and hypertrophic flocculus. When simple compression hemostasis failed, the authors applied fibrin glue and gelatin sponges for hemostasis and finally successfully controlled venous bleeding. The patient's symptoms were completely relieved after operation. Routine postoperative examination of head computed tomography revealed no intracranial hemorrhage. The combination of fibrin glue and gelatin sponges may be a possible solution for complicated and intractable venous hemorrhage during microvascular decompression procedure in some patients with hemifacial spasm.

Department of Neurosurgery, Xinhua Hospital affiliated to Shanghai Jiaotong University School of Medicine, Shanghai, China.

Address correspondence and reprint requests to Shiting Li, MD, Department of Neurosurgery, Xinhua Hospital affiliated to Shanghai Jiaotong University School of Medicine, 1665 KongJiang Rd, Shanghai 200092, China; E-mail: lishiting@xinhuamed.com.cn

Received 5 February, 2019

Accepted 8 March, 2019

XW and XZ contributed equally to this work and should be considered co-first authors.

The authors report no conflicts of interest.

© 2019 by Mutaz B. Habal, MD.