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Prediction and treatment of cranial nerve dysfunction through analysis of facial nerve function in facial spasm patients

Research Project

Project/Area Number 15K10370
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Neurosurgery
Research InstitutionSaitama Medical University

Principal Investigator

Kobayashi Masahito  埼玉医科大学, 医学部, 教授 (60245511)

Co-Investigator(Kenkyū-buntansha) 藤巻 高光  埼玉医科大学, 医学部, 教授 (80251255)
Project Period (FY) 2015-04-01 – 2018-03-31
Project Status Completed (Fiscal Year 2017)
Budget Amount *help
¥3,250,000 (Direct Cost: ¥2,500,000、Indirect Cost: ¥750,000)
Fiscal Year 2017: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2016: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2015: ¥1,950,000 (Direct Cost: ¥1,500,000、Indirect Cost: ¥450,000)
Keywordscranial nerve function / facial nerve / facial spasm / neuroprotection / 顔面神経麻痺 / 神経保護 / 顔面けいれん / facial nerve palsy / b;rain stem / brain stem
Outline of Final Research Achievements

This study was aimed to evaluate risk factors of cranial nerve dysfunction during surgery and develop methods of neuro-protection. During surgery of the facial spasm, functions of facial and auditory nerves were monitored. Both preoperative measurement of apparent diffusion coefficient of MRI and averaged evoked potential of facial nerve nucleus during surgery was difficult to measure constantly. The prevalence rates of hypertension and diabetes mellitus in the HFS patients were not higher than those in the general Japanese population. The severe compression of brain stem by vertebral arteries and the large amount of hemostatic agents such as oxidized cellulose could be risk factors of postoperative transient facial nerve palsy (p<0.10). Artificial cerebrospinal fluid (CSF) with a conditioned pH and electrolyte composition similar with that of human CSF has promoted and could be useful for recovery of delayed auditory brainstem response during surgery.

Report

(4 results)
  • 2017 Annual Research Report   Final Research Report ( PDF )
  • 2016 Research-status Report
  • 2015 Research-status Report
  • Research Products

    (9 results)

All 2017 2016

All Journal Article (2 results) (of which Int'l Joint Research: 1 results,  Peer Reviewed: 1 results,  Acknowledgement Compliant: 1 results) Presentation (7 results) (of which Int'l Joint Research: 2 results,  Invited: 2 results)

  • [Journal Article] Changes in intracortical inhibition and clinical symptoms after STN-DBS2016

    • Author(s)
      Masahito Kobayashi
    • Journal Title

      Clinical Neurophysiology

      Volume: 127 Issue: 4 Pages: 2031-2037

    • DOI

      10.1016/j.clinph.2016.01.022

    • Related Report
      2015 Research-status Report
    • Peer Reviewed / Int'l Joint Research / Acknowledgement Compliant
  • [Journal Article] 痛みに関する外科的治療2016

    • Author(s)
      藤巻高光、小林正人
    • Journal Title

      Jounal of Otolaryngology, Head and Neck Surgery

      Volume: 32 Pages: 641-644

    • Related Report
      2015 Research-status Report
  • [Presentation] Repetitive transcranial magnetic stimulation once a week induces sustainable long-term relief of central post-stroke pain2017

    • Author(s)
      小林正人
    • Organizer
      Association of South-East Asian Pain Societies Conference
    • Place of Presentation
      Yangon, Myanmar
    • Year and Date
      2017-02-16
    • Related Report
      2016 Research-status Report
  • [Presentation] Does arteriosclerosis contribute to hemifacial spasm?2017

    • Author(s)
      Masahito Kobayashi
    • Organizer
      Keio-National Taipei University Joint Neurosurgical Conference
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Changes in intracortical inhibition and clinical symptoms after STN-DBS in Parkinson’s disease. -Transcranial magnetic stimulation (TMS) study-2017

    • Author(s)
      Masahito Kobayashi
    • Organizer
      World Society for Stereotactic and Functional Neurosurgery
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Gamma- and cyber-knife for skull base benign tumors: tumor control, adverse effects and comparison between these modalities.2017

    • Author(s)
      小林正人
    • Organizer
      第76 回日本脳神経外科学会総会
    • Related Report
      2017 Annual Research Report
  • [Presentation] サイバーナイフとガンマナイフ・両刀使いの経験より2017

    • Author(s)
      小林正人
    • Organizer
      第20回日本臨床脳神経外科学会
    • Related Report
      2017 Annual Research Report
    • Invited
  • [Presentation] 定位放射線治療の特徴と治療戦略2017

    • Author(s)
      小林正人
    • Organizer
      第37回日本脳神経外科コングレス総会
    • Related Report
      2017 Annual Research Report
    • Invited
  • [Presentation] DBS手術の効果と合併症:低侵襲で確実な手術のための我々の工夫および低体重患者の術後管理の注意2016

    • Author(s)
      小林正人
    • Organizer
      日本脳神経外科学会総会
    • Place of Presentation
      福岡
    • Year and Date
      2016-09-29
    • Related Report
      2016 Research-status Report

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Published: 2015-04-16   Modified: 2019-03-29  

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