2025 Proffered Presentations
V065: MICROVASCULAR DECOMPRESSION FOR HEMIFACIAL SPASM CAUSED BY DOLICHOECTATIC VERTEBRAL ARTERY
Adel Azghadi, MD; Marte Close-van Keulen, MD; Sepideh Amin-Hanjani, MD; University Hospitals Cleveland Medical Center/ Case Western Reserve University
Hemifacial spasm secondary to a dolichoectatic vertebral artery is a rare but debilitating condition. Macrovascular displacement of the vessel away from the nerve using a Teflon sling is an effective but not always a feasible method. In this video we demonstrate simple microvascular decompression of the root entry zone to be a safe and effective technique for treating hemifacial spasm, despite residual compression of the nerve complex more distally in the cisternal segment.