The Utility of Intraoperative Lateral Spread Recording in Microvascular Decompression for Hemifacial Spasm: A Systematic Review and Meta-Analysis.
Thirumala P, Altibi A, Chang R, Saca E, Iyengar P, Reddy R, Anetakis K, Crammond D, Balzer J, Sekula R. The Utility of Intraoperative Lateral Spread Recording in Microvascular Decompression for Hemifacial Spasm: A Systematic Review and Meta-Analysis. Neurosurgery 2020, 87: e473-e484. PMID: 32297629, DOI: 10.1093/neuros/nyaa069.Peer-Reviewed Original ResearchConceptsLateral spread responseSpasm-free statusMicrovascular decompressionHemifacial spasmIntraoperative LSR monitoringClinical outcome of microvascular decompressionPersistence of lateral spread responseCranial nervesAbnormal lateral spread responseIntraoperative lateral spread responseLateral spread response monitoringResponse to facial nerve stimulationOutcome of microvascular decompressionAdequacy of decompressionFacial nerve stimulationMeta-analysisDiagnostic odds ratioPositive predictive valueSurgical treatmentClinical outcomesNerve stimulationOdds ratioWeb of ScienceHigh riskPredictive value