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Primary Hypertension In Patients With Primary Hemifacial Spasm Is Associated With Left Neurovascular Compression Of The Rostral Ventrolateral Medulla

Posted on:2019-04-25Degree:MasterType:Thesis
Country:ChinaCandidate:Q ZhangFull Text:PDF
GTID:2394330548956186Subject:Surgery
Abstract/Summary:
Objective: The study is to describe the correlation between the NVC and primary hypertension in patients with primary HFS in the RVLM.Methods: The study retrospectively inclued 205 patients in our department with primary HFS and 205 age and sex matched magnetic resonance imaging(MRI)in 3D thin scaning imaging controls of the posterior cranial fossa since October 2014 to October 2017.MRI scans of the RVLM to evaluate the NVC,and the relationship with The primary hypertension was studied.Results: The prevalence of primary hypertension between primary HFS patients and the control group was not statistically significant(39.0vs.29.3%,P=0.19).In the left primary HFS(n=110)were 54% of the patients with primary hypertension and 47% of the right primary HFS patients(n=95)were associated with primary hypertension.83% of the left primary HFS with primary hypertension(n=35)exist NVC on the left side of the RVLM,and 33% of those with left primary HFS without primary hypertension(n=75).In the left primary HFS patients,between NVC of the left RVLM and primary hypertension were statistically significant(P<0.05),but there was not statistically significant difference in the patients with NVC in the right RVLM correlated with primary hypertension(P=0.33).Conclusion: The NVC in the left RVLM was more common in the left primary HFS patients with primary hypertension,and was related to the patients with primary hypertension with the appeal.The results of this study can determine the correlation between the NVC in RVLM region and primary hypertension,and provid important basis for surgical treatment of primary HFS patients with primary hypertension.
Keywords/Search Tags:Hemifacial spasm, Hypertension, Neurovascular compression, Rostral ventrolateral medulla, Magnetic resonance imaging
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