Ashley L Cooper, Alex Wong, Sandeep Tamber, Burton W Blais, Catherine D Carrillo
Analysis of Antimicrobial Resistance in Bacterial Pathogens Recovered from Food and Human Sources: Insights from 639,087 Bacterial Whole-Genome Sequences in the NCBI Pathogen Detection Database
Microorganisms
fully endoscopic microvascular decompression mvd facial nerve main surgical treatment hemifacial spasm however technique presents distinct surgical challenges retrospectively analyzed prior cases consolidate surgical insights assess clinical outcomes clinical data 16 patients facial nerve spasms treated department neurosurgery first affiliated hospital bengbu medical college august 2020 july 2023 retrospectively examined preoperatively patients underwent magnetic resonance angiography detect offending blood vessels ascertain relationship offending vessels facial nerves brainstem detect cerebellopontine angle lesions surgery involved endoscopic mvd facial nerve using mini sigmoid sinus posterior approach various operative nuances summarized analyzed clinical efficacy including postoperative complications extent relief facial paralysis evaluated fully endoscopic mvd completed patients offending vessels identified adequately padded surgery offending vessels anterior inferior cerebellar artery 12 cases 75 vertebral artery 3 cases 1875 posterior inferior cerebellar artery 1 case 625 intraoperative electrophysiological monitoring revealed lateral spread response facial nerve vanished 15 cases remained unchanged 1 case postoperative facial spasms promptly alleviated 15 cases 9375 delayed 1 case 625 two cases postoperative complications recordedone intracranial infection one case tinnitusboth resolved mitigated treatment patients subject followup instances recurrence mortality fully endoscopic mvd facial nerve safe effective proficiency endoscopy surgical skills vital performing procedure