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      Hypertension of neurogenic origin: effect of microvascular decompression of the CN IX-X root entry/exit zone and ventrolateral medulla on blood pressure in a prospective series of 48 patients with hemifacial spasm associated with essential hypertension.

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          Abstract

          In spite of solid anatomical and physiological arguments and the promising results of Jannetta in the 1970s, treating essential hypertension by microvascular decompression (MVD) of the brainstem has not gained acceptance as a mainstream technique. The main reason has been a lack of established selection criteria. Because of this, the authors' attempts have been limited to patients referred for MVD for hemifacial spasm (HFS) who also had hypertension likely to be related to neurovascular compression (NVC).

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          Author and article information

          Journal
          J Neurosurg
          Journal of neurosurgery
          Journal of Neurosurgery Publishing Group (JNSPG)
          1933-0693
          0022-3085
          Dec 2015
          : 123
          : 6
          Affiliations
          [1 ] Department of Neurosurgery, University of Lyon 1, Hôpital Neurologique "Pierre Wertheimer," Lyon, France;
          [2 ] Section of Neurosurgery, Regional Military Hospital of Oran (HMRUO), Oran, Algeria; and.
          [3 ] University of Medicine "Victor Babes," Timisoara, Romania.
          Article
          10.3171/2014.12.JNS141775
          26230479
          d68675b3-0d53-4357-86b0-eab51d7e8248
          History

          AICA = anterior inferior cerebellar artery,BA = basilar artery,BP = blood pressure,CN = cranial nerve,ENMG = electroneuromyographic,GP = general practitioner,HFS = hemifacial spasm,MVD = microvascular decompression,NVC = neurovascular compression,PICA = posterior inferior cerebellar artery,REZ = root entry/exit zone,VA = vertebral artery,essential arterial hypertension,functional neurosurgery,glossopharyngeal nerve,medulla oblongata,microvascular decompression,neurogenic mechanism of hypertension,neurovascular compression,vagus nerve

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