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. 2019 Jan 25;116(4):54–60. doi: 10.3238/arztebl.2019.0054

Table 2. Results of microvascular decompression for hemifacial spasm*.

Hemifacial spasm Overall: 320 patients
Sex distribution Men: 120 Women: 200
Mean age (range) 54.89 years (22–81 years)
Mean duration of symptoms 7.84 years (1–35 years)
Follow-up (FU) Immediately after surgery
(320 patients)
FU >12 months
(201 patients)
– No spasms 178 (55.63%) 156 (77.61%)
– Spasms reduced by 90% 53 (16.56%) 22 (10.95%)
– Spasms reduced by 50% 62 (19.38%) 20 (9.95%)
– No improvement 27 (8.44%) 3 (1.49%)
Morbidity (in a total of 339 operations)
Transient Permanent
Vertigo 11 (3.2%) 2 (0.6%)
Partial hearing loss 34 (10%) 8 (2.4%)
Deafness 9 (2.7%) 9 (2.7%)
Facial palsy (immediate) due to surgical manipulation 5 (1.5%) 2 (0.6%, mild)
Facial palsy arising after a delay of >10 days 22 (6.5%) 1 (0.3%, mild)

* Results from the authors’ own series of microvascular decompression surgery in 320 patients with hemifacial spasm (a total of 339 operations, including 19 second procedures because of inadequate initial relief or because of recurrence). The relief of spasms immediately after surgery and on late follow-up (>12 months) is shown, as is the frequency of transient and permanent morbidity on the affected side