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2017 Fiscal Year Final Research Report

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

Research Project

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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
Keywordscranial nerve function / facial nerve / facial spasm / neuroprotection
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.

Free Research Field

機能的脳神経外科

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Published: 2019-03-29  

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