Delayed facial palsy after microvascular decompression

Report of two cases

Research output: Contribution to journalArticle

2 Citations (Scopus)

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.

Original languageEnglish
Pages (from-to)461-465
Number of pages5
JournalJournal of Neurosciences in Rural Practice
Volume8
Issue number3
DOIs
Publication statusPublished - 01-07-2017

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Microvascular Decompression Surgery
Facial Paralysis
Hemifacial Spasm
Trigeminal Neuralgia
Acyclovir
Steroids
Acoustic Neuroma
Hypesthesia
Hearing Loss
Meningitis

All Science Journal Classification (ASJC) codes

  • Neuroscience(all)
  • Clinical Neurology

Cite this

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Delayed facial palsy after microvascular decompression : Report of two cases. / Lakshmi Prasad, G.; Kumar, Vinod; Menon, Girish.

In: Journal of Neurosciences in Rural Practice, Vol. 8, No. 3, 01.07.2017, p. 461-465.

Research output: Contribution to journalArticle

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