Microvascular decompression is a very effective and relatively safe surgical modality in the treatment of hemifacial spasm. But rare debilitating complications have been reported such as cranial nerve dysfunctions. We have experienced a very rare case of unilateral soft palate palsy without the involvement of vocal cord following microvascular decompression. A 33-year-old female presented to our out-patient clinic with a history of left hemifacial spasm for 5 years. On postoperative 5th day, patient started to exhibit hoarsness with swallowing difficulty. Symptoms persisted despite rehabilitation. Various laboratory work up with magnetic resonance image showed no abnormal lesions. Two years after surgery patient showed complete recovery of unitaleral soft palate palsy. Various etiologies of unilateral soft palate palsy are reviewed as the treatment and prognosis differs greatly on the cause. Although rare, it is important to keep in mind that such complication could occur after microvascular decompression.
Mixed data with numeric variables and categorical variables are appearing in many areas such as credit scoring, medical diagnosis and manufacturing products. Most Classification techniques are suitable for each variable type of mixed data. For example, techniques using Euclidean distance are suitable for numerical variables and another techniques using symbolic logic are suitable for categorical variables. In this paper, we propose a hybrid method of classifiers to improve performance of the classification algorithm. Main idea is to deal with the categorical and numerical attributes separately with appropriate techniques. First, a whole data is partitioned into several subsets by applying decision tree only to categorical variables. Next, posterior probability is obtained by applying either k-NN or SVM to numerical variables in each leaf node of decision tree. Six data (Australian credit, German credit, Japan credit, Mammographic mass, churn, bank) of the UCI Machine Learning Repository are used to evaluate performance of the proposed hybrid classifier. Performance of a hybrid k-NN classifier is improved comparing with the k-NN. Performance of a hybrid SVM is slightly better than that of SVM. †
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