The results suggest that MVD without neurophysiological monitoring is a safe and effective treatment option in patients with HFS. Although BAER monitoring may be a valuable adjunct to surgery at centers experienced with the modality, the absence of intraoperative monitoring should not prevent neurosurgeons from performing MVD in patients with HFS.
Late recurrences after microvascular decompression for hemifacial spasm or trigeminal neuralgia are rare. We present an atypical case of recurrence one and a half years after successful microvascular decompression for hemifacial spasm associated with direct trauma. Implications for the management of recurrences and the judicious use of polymer adhesives such as fibrin glue are discussed.
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