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首页> 外文期刊>Journal of International Medical Research >Appearance of cerebellar cyst following microvascular decompression to treat hemifacial spasm: a report of two cases and literature review
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Appearance of cerebellar cyst following microvascular decompression to treat hemifacial spasm: a report of two cases and literature review

机译：微血管减压治疗半衰落痉挛后脑囊肿的外观：两种病例报告及文献综述

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摘要

Microvascular decompression (MVD) is an effective and safe approach for treating hemifacial spasm (HFS). Postoperative complications may include facial nerve palsy, hearing loss, intracerebral haematoma, and brainstem infarction. The occurrence of intracranial cyst following MVD is extremely rare, with few cases documented in the literature. Herein, the cases of two patients with HFS who developed ipsilateral cerebellar cyst following MVD are reported. The first patient was a 50-year-old male presenting with a 6-year history of HFS on the right side of his face. MVD was performed, and 12 days postoperatively he developed dizziness and nausea. Magnetic resonance imaging (MRI) showed a cyst in the ipsilateral cerebellum. Antibiotic treatment provided no benefit, and the cyst was drained. The second patient was a 44-year-old female presenting with a 4-year history of HFS on the right side of her face. MVD was performed, and 18 days following surgery, she developed dizziness and nausea. MRI showed an ipsilateral cerebellar cyst. Conservative treatment was applied and the cyst shrunk. At the 2-month follow-up appointment, symptoms were completely resolved in both patients. Cerebellar cyst is a rare complication following MVD. Timely diagnosis and appropriate treatment should be emphasized, and surgical treatment may be unnecessary.
机译：微血管减压（MVD）是治疗半衰期痉挛（HFS）的有效和安全的方法。术后并发症可包括面神经麻痹，听力丧失，脑血肿和脑干梗死。 MVD后颅内囊肿的发生极为罕见，在文献中有很少的案例。这里，报告了两种患有MVD后的IpsilAtalal小脑囊肿的HFS患者的病例。第一个患者是一名50岁的男性，呈现了他脸部右侧的HFS历史的6年历史。 MVD正在进行，术后12天，他发育了头晕和恶心。磁共振成像（MRI）在同侧小脑中显示出囊肿。抗生素治疗没有提供益处，囊肿排出。第二名患者是一名44岁的女性，在她脸部右侧的HFS历史上展示了4年的历史。在手术后进行了MVD和18天，她发育了头晕和恶心。 MRI显示同透明度小脑囊肿。施加保守治疗，囊肿缩小。在2个月的后续预约，两位患者中症状完全解决。小脑囊肿是MVD后罕见的并发症。应强调及时诊断和适当的治疗，并且可能不需要手术治疗。

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