Delayed facial palsy after microvascular decompression: Report of two cases

Prasad, Lakshmi G and Kumar, Vinod and Menon, Girish (2017) Delayed facial palsy after microvascular decompression: Report of two cases. Journal of Neurosciences in Rural Practice, 8 (3). pp. 461-465. ISSN 0976-3147

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Abstract

Microvascular decompression (MVD) is a novel surgical procedure predominantly performed for treating trigeminal neuralgia (TN) and hemifacial spasm (HS). Multiple studies have proven the long-term success of MVD for both these conditions. The most common complications of MVD reported include chemical meningitis, facial hypesthesia, cerebrospinal fluid leak, facial paresis, and hearing loss. Delayed facial palsy (DFP) is an uncommon complication mostly noted in MVD for HS and after the removal of acoustic tumors. We report two cases of DFP occurring after performing MVD, one each for HS and TN. This is also the first case of DFP to be reported after MVD for TN. Both were young females who developed DFP 2 weeks after surgery. They were managed with oral steroids and acyclovir for 2–3 weeks and achieved excellent outcome at an average of 4.5 weeks from the onset. We conclude that although majority of the cases improve spontaneously, steroids and acyclovir might assist in faster recovery.

Item Type: Article
Uncontrolled Keywords: Delayed facial palsy; hemifacial spasm; herpes virus; microvascular decompression; steroids; trigeminal neuralgia.
Subjects: Medicine > KMC Manipal > Neuro Surgery
Depositing User: KMC Library
Date Deposited: 19 Jun 2017 05:32
Last Modified: 19 Jun 2017 05:32
URI: http://eprints.manipal.edu/id/eprint/149080

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