面肌痉挛

MRI在面肌痉挛神经血管压迫病因诊断中的价值

The MRI Diagnosis Value of Neurovascular Compression in Patients with Hemifacial Spasm

目的：探讨面肌痉挛患者神经血管压迫病因的MR表现及其诊断价值。

Objective : To evaluate the MRI findings and diagnostic value of neurovascular compression in patients with hemifacial spasm .

面肌痉挛异常肌反应与F波之间的相关性研究

Study on the correlation between abnormal muscle response and F-wave in hemifacial spasm

He-Ne激光穴位照射治疗阵发性面肌痉挛的疗效观察

Observation on therapeutic effect of colonic spasm with He-Ne laser irradiation

目的探讨减少显微血管减压术（MVD）治疗面肌痉挛术后听力障碍的有效方法。

Objective To explore the effective tactics of reducing hearing impairment in microvascular decompression ( MVD ) for hemifacial spasm .

结论术中BAEP监测对减少治疗面肌痉挛时所造成的听力障碍具有显著的意义。

Conclusion The intraoperative monitoring of BAEP could significantly reduce the hearing impairment of MVD for hemifacial spasm .

方法对156例睑肌及面肌痉挛病人在评定痉挛程度的同时进行汉密顿焦虑量表（HAMA）和汉密顿抑郁量表（HAMD）测量。

Methods 156 patients with blepharospasm and hemifacial spasm were measured by HAMA and HAMD .

目的探讨微血管减压术（MVD）治疗面肌痉挛（HFS）术后听力障碍的因素及预防措施。

Objective To explore the cause and prevention of hearing disturbance after microvascular decompression for hemifacial muscles spasm .

结论粗大移位的VA通常是导致面肌痉挛合并三叉神经痛的直接或间接责任血管。

Conclusion Large and dislocated VA may often be the direct and indirect responsible vessels for hemifacial spasm complicated with trigeminal neuralgia .

结论术前MRTA检查可取代普通MRI作为面肌痉挛术前病因诊断的最佳手段；

Conclusion Pre operative MRTA can replace conventional MRI as a best approach for pre operational etiological diagnosis of facial spasm .

外伤病变首选HRCT，面肌痉挛病人首选梯度回波T1WI。

HRCT was first choose with traumatic patients and RF-FAST T1WI sequenced were performed in patients with facial spasm .

方法：回顾性分析32例面肌痉挛患者3D-TOFMRA表现与手术结果。

Methods : 3D-TOF MRA manifestation and operative results of patients with facial spasm were reviewed retrospectively .

3D-TOF磁共振血管成像诊断偏侧面肌痉挛的病因

Contral study of 3D-TOF MRA in the etiologic diagnosis of hemifacial spasm

结论：面神经诱发肌电图运用于MVD术中监测和预后判断，可改善和提高面肌痉挛的治愈率。

Conclusion : This technique can be used to monitor facial nerve decompression procedures and to judge the prognosis and improvement of the therapeutic effect of HFS .

BTA解除面肌痉挛的疗效与患者神经系统机能关系的探讨

Relation between the Curative Effect of BTA in Relief of Bell 's Spasm and the Nervous System Function State of Patients

3.0T磁共振断层血管成像诊断血管压迫性三叉神经痛、面肌痉挛的价值

Evaluation of 3.0 Tesla Magnetic Resonance Tomographic Angiography in the Diagnosis of Vascular Compressive Trigeminal Neuralgia and Hemifacial Spasm

3D-TOF-MRA诊断偏侧面肌痉挛、三叉神经痛的病因

3D-TOF MRA in the Etiologic Diagnosis of Hemifacial Spasm and Trigeminal Neuralgia

面肌痉挛3D-TOF-MRA与手术结果对比性研究

Comparative study of 3D-TOF-MRA and operative results in hemifacial spasm

方法面肌痉挛病人共121例，均行双侧面神经多平面成像MRTA检查。

Methods Multiplane MRTA imaging of facial nerve of both sides was performed in all 121 HFS patients .

目的探讨磁共振断层血管造影（MRTA）以及MRTA评分诊断法对于偏侧面肌痉挛（HFS）的病因诊断价值。

Objective To evaluate MR tomographic angiography ( MRTA ) in the clinical diagnosis of the etiology of hemifacial spasm ( HFS ) .

目的：探讨如何规范化应用A型肉毒毒素（BTXA）局部注射治疗面肌痉挛、各型头颈部的肌张力障碍，以提高其临床疗效和安全性。

Objective : To investigate the efficacy and safety of botulinum toxin type A ( BTX A ) by local injection in treating hemifacial spasm and cranial cervical dystonia .

目的评价磁共振体层血管造影成像技术（MRTA）在面肌痉挛病因研究中的价值。

Objective To evaluate the imaging technique of magnetic resonance tomographic angiography ( MRTA ) in the investigation of etiology of hemifacial spasm ( HFS ) .

目的：观察重复局部注射A型肉毒毒素（BTXA）治疗眼睑及面肌痉挛的长期疗效。

Objective : To study the long-term efficacy of botulinum A toxin ( BTXA ) repeated injection for the treatment of blepharospasm and hemifacial spasm ( HFS ) .

目的研究增强三维体积扫描时间飞跃法磁共振血管成像（3D-TOF-MRA）对偏侧面肌痉挛（HFS）、三叉神经痛（TN）病因诊断的临床价值。

Objective To study the clinical significance of 3 dimensional time of flight magnetic resonance angiography ( 3D-TOF-MRA ) for the pathogenesis of hemifacial spasm ( HFS ) and trigeminal neuralgia ( TN ) .

3D-TOF-MRA诊断面肌痉挛敏感度88.2%；与手术结果比较，准确度为91.8%。

The sensitivity of 3D-TOF-MRA for diagnosing vascular compression or contact was 88.2 % , and the accuracy compared with the surgery was 91.8 % .

结论研究提示，3DTOF磁共振血管成像为目前面肌痉挛病因诊断的最佳影像检查方法，HFS的主要病因为患侧面神经根部受血管压迫、包绕或与其紧密接触。

Conclusions 3D TOF MRA appeared to be the best imaging test for the pathogenesis of HFS now . The major causes of HFS might be different neurovascular compressions in the REZ of the seventh cranial nerve , with real compression , entrapping or tight contact .

起效时间1～7d，疗效持续时间在面肌痉挛和眼睑痉挛分别为（14.6±4.7）和（13.4±5.4）周。局部不良反应轻微、短暂，无全身反应及过敏反应。

The onset of action of the drug was 1 ~ 7 day and lasted for ( 14.6 ± 4.7 ) weeks for hemifacial spasm and ( 13.4 ± 5.4 ) weeks for blepharospasm with mild and transient side effects .

75例显微血管减压术中应用Teflon减压垫棉行血管减压治疗三叉神经痛及面肌痉挛，并观察了21例无效和复发病例二次手术中Teflon垫棉在颅内的情况。

The Teflon grafts were used in 75 cases of microvascular decompression operations for treatment of primary trigeminal neuralgia and hemifacial spasm . The situation of intracranial Teflon grafts were examined in 21 cases of second operations for the recurrent cases .

本文从A型肉毒毒素历史、药理、方法与剂量、适应证（偏侧面肌痉挛与单纯眼肌痉挛、痉挛性斜颈、Meige综合征、祛皱美容）、毒副作用、禁忌证等几个方面进行综述。

This review summarize the history of Botulinum toxin type A , pharmacology , method and dosage , indication ( hemifacial spasm and the pure muscular apparatus spasm , spasmodic torticollis , Meige syndrome , remove the wrinkle in hairdressing ), side-effect , contraindication and so on .

方法：面肌痉挛病人58例（男性24例，女性34例；年龄47a±s13a）采用A型肉毒毒素（2.0U）局部多点注射痉挛肌肉，治疗前后对照。

METHODS : Fifty-eight patients ( M 24 , F 34 ; age 47 a ± s 13 a ) with hemifacial spasm were injected with BTA 2.0 U on the spasmodic muscles . The efficacy and side effects were compared between the results before and after injection .