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Proceedings SNO “LXII Congresso Nazionale SNO”
Figura 1. Studio intra-operatorio della Lateral Spread Responce (LSR) durante un intervento di decompressione microvascolare.
Viene stimolata solo la branca del faciale diretta al muscolo frontale. Si noti, dopo alcuni minuti dall’apertura della cisterna del fa-
ciale e della risoluzione del conflitto, la scomparsa della LSR sui muscoli orbicolare dell’occhio, orbicolare della bocca e mentale e
il mantenimento della risposta sul muscolo frontale.
BIBLIOGRAFIA 4. Bond AE, Zada G, Gonzalez AA, Hansen C, Giannotta SL.
Operative strategies for minimizing hearing loss and other
1. Guclu B, Sindou M, Meyronet D, Streichenberger N, Simon major complications associated with microvascular decom-
E, Mertens P. Cranial nerve vascular compression syndromes pression for trigeminal neuralgia. World Neurosurg 2010; 74
of the trigeminal, facial and vago-glossopharyngeal nerves: (1): 172-177.
comparative anatomical study of the central myelin portion
and transitional zone; correlations with incidences of corre- 5. Miller LE, Miller VM. Safety and effectiveness of microvas-
sponding hyperactive dysfunctional syndromes. Acta Neuro- cular decompression for treatment of hemifacial spasm: a sys-
tematic review. Br J Neurosurg 2012; 26 (4): 438-444.
chir 2011; 153 (12): 2365-2375.
2. Møller AR. The cranial nerve vascular compression syn- 6. Deletis V, Fernández-Conejero I. Intraoperative monitoring
drome: II. A review of pathophysiology. Acta Neurochir and mapping of the functional integrity of the brainstem. J
1991; 113 (1-2): 24-30. Clin Neurol 2016; 12 (3): 262-73.
3. Sivakanthan S, Van Gompel JJ, Alikhani P, van Loveren H, 7. Fernández-Conejero I, Ulkatan S, Sen C, Deletis V. Intra-op-
Chen R, Agazzi S. Surgical management of trigeminal neural- erative neurophysiology during microvascular decompression
gia: use and cost-effectiveness from an analysis of the Medi- for hemifacial spasm. Clin Neurophysiol 2012; 123 (1): 78-
care Claims Database. Neurosurgery 2014; 75 (3): 220-226. 83.
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