微血管减压术治疗面肌痉挛合并高血压一例并文献复习

Microvascular Decompression for Hemifacial Spasm with Hypertension: A Case Report and Literature Review

摘要: 高血压是面肌痉挛患者的常见合并症，Oliveira曾在研究中明确提出高血压在HFS患者中显著更常见，并推测高血压可能是HFS的一个重要危险因素。但因总体病例相对较少，对两种疾病的相关性及发病机制仍不明确。在我们的临床工作及文献报道中有合并高血压的面肌痉挛患者在接受显微血管减压术后高血压症状亦得到改善。本文章报道了一例我院就诊的面肌痉挛患者，且该患者有较长的高血压病史，经手术治疗后血压改善。现回顾该患者的诊疗经过及相关文献，探讨术后血压下降的可能机制。

Abstract: Hypertension is a common comorbidity in patients with hemifacial spasm. Oliveira’s study explicitly indicated that hypertension is significantly more prevalent among HFS patients and suggested that hypertension may be an important risk factor for HFS. However, due to the relatively limited number of cases overall, the correlation between the two conditions and their underlying pathogenesis remain unclear. In our clinical practice as well as in reported literature, some HFS patients with coexisting hypertension have shown improvement in hypertensive symptoms after undergoing microvascular decompression. This article presents a case of a hemifacial spasm patient with a long history of hypertension who was treated at our hospital and experienced clinical improvement following surgical intervention. By reviewing this patient’s diagnosis and treatment course along with relevant literature, we explore the possible mechanisms underlying the postoperative reduction in blood pressure.