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How do you counsel patients who do you not experience early relief of hemifacial spasm after microvascular decompression surgery?
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Mednet Member
Neurosurgery · Oregon Health & Science University
HFS is unique in that neurovascular compression is always the cause, and the location of NVC is almost always at the initial segment of the emerging facial nerve at the pontomedullary junction. High-resolution imaging pre-op using sub-millimeter voxel T2 MRI (BFFE) and MRA (source images) is recomme...