<p><b>OBJECTIVE</b>To
report the serious
complications of
microvascular decompression and (or) selective
neurectomy in
cerebellopontine angle.</p><p><b>
METHODS</b>To
review 322 cases of
microvascular decompression and (or)
facial nerve splitting, selective
neurectomy for
hemifacial spasm,
trigeminal neuralgia and
glossopharyngeal neuralgia respectively. Among 322 cases,
hemifacial spasm 164, which 96 underwent
facial nerve splitting, 68 underwent
microvascular decompression and
facial nerve splitting. The selective
neurectomy and
neurectomy were performed in 128 cases of
trigeminal neuralgia and 30 cases for
glossopharyngeal neuralgia respectively.</p><p><b>RESULTS</b>Of the serious
complications 2 died (0.6%), The mild to severe
hearing impairment occurred in 21 cases (6.5%), in which 3 cases presented total
hearing loss (0. 9%); Postoperative cerebellospinal
leakage in 20 (6. 2%).</p><p><b>CONCLUSIONS</b>It was demonstrated that, even though the
microvascular decompression and /or
neurectomy was a safe
procedure for posterior neuropathy, mortal and serious
complications might occur. It was essential to pay great
attention to the entire
decompression procedure in avoiding cerebellar
injury. Using of intraoperative ABR and avoiding of impairment of the
acoustic nerve might contribute to the prevention of the postoperative
hearing loss.</p>