Impact of Preoperative Botulinum Toxin Injections on Postoperative Outcomes After Redo Microvascular Decompression for Hemifacial Spasm

While patients with a history of multiple prior MVDs tended to benefit less from redo MVD, the number of preoperative BTI was not associated with spasm freedom after the procedure. These findings suggest that, in cases of spasm recurrence after MVD, HFS can be managed by BTI without compromising the effectiveness of subsequent redo MVD.

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Publication Details

Journal
Neurosurgery
Published
2025-11-06
DOI
https://doi.org/10.1227/neu.0000000000003826
Primary Topic
Trigeminal Neuralgia and Treatments
Type
article
Field-Weighted Citation Impact
0.00
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article

Impact of Preoperative Botulinum Toxin Injections on Postoperative Outcomes After Redo Microvascular Decompression for Hemifacial Spasm

M. T. JENKINS, Yue-Fang Chang, Melanie Kristt, Raymond F. Sekula et al.
Neurosurgery
Trigeminal Neuralgia and Treatments
article

Impact of Preoperative Botulinum Toxin Injections on Postoperative Outcomes After Redo Microvascular Decompression for Hemifacial Spasm

M. T. JENKINS, Yue-Fang Chang, Melanie Kristt, Raymond F. Sekula, Colby T. Joncas
article en

Abstract

While patients with a history of multiple prior MVDs tended to benefit less from redo MVD, the number of preoperative BTI was not associated with spasm freedom after the procedure. These findings suggest that, in cases of spasm recurrence after MVD, HFS can be managed by BTI without compromising the effectiveness of subsequent redo MVD.

Neurosurgery
NewYork–Presbyterian Hospital (US), University of Pittsburgh Medical Center (US), Neurological Surgery (US), Columbia University (US)
Openalex Percentile: Top 54%
Trigeminal Neuralgia and Treatments
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