RT Journal Article SR Electronic T1 Hemifacial spasm: a long term follow-up of patients treated by posterior fossa surgery and facial nerve wrapping. JF Journal of Neurology, Neurosurgery & Psychiatry JO J Neurol Neurosurg Psychiatry FD BMJ Publishing Group Ltd SP 1100 OP 1103 DO 10.1136/jnnp.44.12.1100 VO 44 IS 12 A1 A H Kaye A1 C B Adams YR 1981 UL http://jnnp.bmj.com/content/44/12/1100.abstract AB Sixteen patients with hemifacial spasm were treated by posterior fossa surgery and wrapping of sponge around their facial nerve. A good or excellent result has been obtained in fourteen of the sixteen cases, and in seven cases followed by four years or longer. Two patients had a mild recurrence of their hemifacial spasm after a cessation of their spasm for eighteen months and two years following surgery. Contrary to the experience of other authors a definite vascular abnormality was found in only four cases. In the other twelve cases circumferential fibrosis about the nerve is again proposed as a mechanism for the effectiveness of the procedure.