Simultaneous Surgical Treatment of Vestibular Schwannoma and Hemifacial Spasm via Minimally Invasive Retrosigmoid Approach

Khairunnisak Misron; Godlove Mfuko; Jeong Geum Lee; In Seok Moon

doi:10.3342/kjorl-hns.2021.00332

Simultaneous Surgical Treatment of Vestibular Schwannoma and Hemifacial Spasm via Minimally Invasive Retrosigmoid Approach

Khairunnisak Misron, Godlove Mfuko, Jeong Geum Lee, In Seok Moon

Department of Otorhinolaryngology

Research output: Contribution to journal › Article › peer-review

1 Citation (Scopus)

Abstract

The combination of vestibular schwannoma (VS) and hemifacial spasm (HFS) caused by a vascular loop is not frequently encountered. Surgical intervention using the retrosigmoid approach may enable the two diseases to be treated simultaneously. A 68-year-old male presented with progressive right HFS. MRI revealed a concurrent vascular loop and 3.2-mm intracanalicular VS. The retrosigmoid approach, together with microvascular decompression, was used to remove VS. Intraoperatively, compression by the vascular loop alone induced HFS although it was not related to VS. This finding is in contrast to the literature reports in which VS has been implicated in HFS. In our patient, when VS was completely removed, HFS immediately disappeared postoperatively.

Original language	English
Pages (from-to)	296-299
Number of pages	4
Journal	Korean Journal of Otorhinolaryngology-Head and Neck Surgery
Volume	65
Issue number	5
DOIs	https://doi.org/10.3342/kjorl-hns.2021.00332
Publication status	Published - 2022 May 1

Bibliographical note

Funding Information:
This study was supported by the National Research Foundation of Korea (NRF) grant funded by the Korea government (MSIP) (NRF-2018R1D1A1A02085472) to I.S.M.

Publisher Copyright:
Copyright © 2022 Korean Society of Otorhinolaryngology-Head and Neck Surgery.

All Science Journal Classification (ASJC) codes

Surgery
Otorhinolaryngology

Access to Document

10.3342/kjorl-hns.2021.00332

Cite this

@article{aec5bb55fb834db19bc3041186aafde8,

title = "Simultaneous Surgical Treatment of Vestibular Schwannoma and Hemifacial Spasm via Minimally Invasive Retrosigmoid Approach",

abstract = "The combination of vestibular schwannoma (VS) and hemifacial spasm (HFS) caused by a vascular loop is not frequently encountered. Surgical intervention using the retrosigmoid approach may enable the two diseases to be treated simultaneously. A 68-year-old male presented with progressive right HFS. MRI revealed a concurrent vascular loop and 3.2-mm intracanalicular VS. The retrosigmoid approach, together with microvascular decompression, was used to remove VS. Intraoperatively, compression by the vascular loop alone induced HFS although it was not related to VS. This finding is in contrast to the literature reports in which VS has been implicated in HFS. In our patient, when VS was completely removed, HFS immediately disappeared postoperatively.",

author = "Khairunnisak Misron and Godlove Mfuko and Lee, {Jeong Geum} and Moon, {In Seok}",

note = "Funding Information: This study was supported by the National Research Foundation of Korea (NRF) grant funded by the Korea government (MSIP) (NRF-2018R1D1A1A02085472) to I.S.M. Publisher Copyright: Copyright {\textcopyright} 2022 Korean Society of Otorhinolaryngology-Head and Neck Surgery.",

year = "2022",

month = may,

day = "1",

doi = "10.3342/kjorl-hns.2021.00332",

language = "English",

volume = "65",

pages = "296--299",

journal = "Korean Journal of Otorhinolaryngology-Head and Neck Surgery",

issn = "2092-6529",

publisher = "Korean Society of Otolaryngology",

number = "5",

}

TY - JOUR

T1 - Simultaneous Surgical Treatment of Vestibular Schwannoma and Hemifacial Spasm via Minimally Invasive Retrosigmoid Approach

AU - Misron, Khairunnisak

AU - Mfuko, Godlove

AU - Lee, Jeong Geum

AU - Moon, In Seok

N1 - Funding Information: This study was supported by the National Research Foundation of Korea (NRF) grant funded by the Korea government (MSIP) (NRF-2018R1D1A1A02085472) to I.S.M. Publisher Copyright: Copyright © 2022 Korean Society of Otorhinolaryngology-Head and Neck Surgery.

PY - 2022/5/1

Y1 - 2022/5/1

N2 - The combination of vestibular schwannoma (VS) and hemifacial spasm (HFS) caused by a vascular loop is not frequently encountered. Surgical intervention using the retrosigmoid approach may enable the two diseases to be treated simultaneously. A 68-year-old male presented with progressive right HFS. MRI revealed a concurrent vascular loop and 3.2-mm intracanalicular VS. The retrosigmoid approach, together with microvascular decompression, was used to remove VS. Intraoperatively, compression by the vascular loop alone induced HFS although it was not related to VS. This finding is in contrast to the literature reports in which VS has been implicated in HFS. In our patient, when VS was completely removed, HFS immediately disappeared postoperatively.

AB - The combination of vestibular schwannoma (VS) and hemifacial spasm (HFS) caused by a vascular loop is not frequently encountered. Surgical intervention using the retrosigmoid approach may enable the two diseases to be treated simultaneously. A 68-year-old male presented with progressive right HFS. MRI revealed a concurrent vascular loop and 3.2-mm intracanalicular VS. The retrosigmoid approach, together with microvascular decompression, was used to remove VS. Intraoperatively, compression by the vascular loop alone induced HFS although it was not related to VS. This finding is in contrast to the literature reports in which VS has been implicated in HFS. In our patient, when VS was completely removed, HFS immediately disappeared postoperatively.

UR - http://www.scopus.com/inward/record.url?scp=85132759272&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85132759272&partnerID=8YFLogxK

U2 - 10.3342/kjorl-hns.2021.00332

DO - 10.3342/kjorl-hns.2021.00332

M3 - Article

AN - SCOPUS:85132759272

SN - 2092-6529

VL - 65

SP - 296

EP - 299

JO - Korean Journal of Otorhinolaryngology-Head and Neck Surgery

JF - Korean Journal of Otorhinolaryngology-Head and Neck Surgery

IS - 5

ER -

Simultaneous Surgical Treatment of Vestibular Schwannoma and Hemifacial Spasm via Minimally Invasive Retrosigmoid Approach

Abstract

Bibliographical note

All Science Journal Classification (ASJC) codes

Access to Document

Other files and links

Fingerprint

Cite this