미세혈관감압술과 선택적 경추신경 후근 절단술에 의한 경련성 사경의 외과적 치료
Surgical Treatment of Spasmodic Torticollis by Microvascular Decompression with Selective Dorsal Cervical Phizotomy
소속 상세정보
박성찬
이경진/성우현/박영섭/최창섭
KMID : 0359819940230040474
Abstract
A case of spasmodic torticollis in a 48-year-old man was cured by microvacular decompression of the spinal accessory nerve with selective dorsal cervical rhizotomy of the first and second cervical nerves. The 11th nerve was compressed by the
posterior
inferior cerebellar artery originating from the vertebral artery at the C1 level. After intraoperative identification of each posterior rootlets of C1 and C2 nerves exclusively related with the involved sternocleidomastoid muscle (SCM) using the
monopolar electric nerve stimulator, microvascular decompression with selective dorsal cervical rhizotomy was done using the Teflon felt and electrobipolar coagulator.
The patient was significantly relieved from symptoms 1 week after operation.
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