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Endoscopic strategies for giant V2 schwannoma: A step-by-step guide to the combined endonasal and pre lacrimal approaches.
J Clin Neurosci
January 2025
PDCC, Neuro-Otology, Department of Neurosurgery, SGPGIMS, Lucknow, Uttar Pradesh, India.
This video article aims to describe the surgical technique and effectiveness of a combined endoscopic transnasal and pre-lacrimal recess approach for paramedian V2 schwannoma.
View Article and Find Full Text PDFUnexpected Complications Following Accidental Petrosal Vein Damage during Standard Retrosigmoid Surgery for a Large Vestibular Schwannoma: Introspection and Lessons Learned.
Acta Neurochir Suppl
November 2024
Department of Neurosurgery, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India.
We present the case of a patient with a vestibular schwannoma (VS) who developed vascular complications following surgery and discuss the potential mechanisms. Additionally, we systematically searched the literature to identify citations on vascular and brain stem complications following VS surgery. We excluded the articles related to facial and vestibulocochlear nerve-related complications and other complications, such as headache, tinnitus, and ataxia.
View Article and Find Full Text PDFAvoidance and Management of Complications in Retrosigmoid Approach to Vestibular Schwannomas.
Acta Neurochir Suppl
November 2024
DNB Neurosurgery, Department of Neurosurgery and Gamma Knife Radiosurgery, P. D. Hinduja Hospital and Medical Research Center, Veer Savarkar Marg, Mahim, Mumbai, India.
An experience with two rare complications during surgery of vestibular schwannomas (VSs) is presented, and measures to avoid and manage the complications are discussed.Case A: Spinal cord ischemia in semi-sitting position: A 47-year-old with a giant vestibular schwannoma (VS) underwent surgery through a retrosigmoid approach in the semi-sitting position. The intraoperative phase was uneventful, except for an episode of moderate hypotension.
View Article and Find Full Text PDFManagement of large Trigeminal Schwannoma: long-term oncologic and functional outcome from a multicentric retrospective cohort.
Acta Neurochir (Wien)
November 2024
Department of Neurosurgery, Aix Marseille Univ, APHM, UH North, Chemin des Bourrely, 13015, Marseille, France.
Objective: Trigeminal schwannoma (TS), though a rare and benign tumor, becomes a significant surgical challenge due to its intricate location. This study aims to detail the long-term functional outcomes and tumor control post-surgical resection.
Method: We analyzed a multicentric retrospective cohort of 39 patients operated on for a TS in five tertiary centers between January 1993 and July 2022.
Giant cystic Intradural extramedullary tumor of the lumbar spine mimicking arachnoid cyst: A case report.
Int J Surg Case Rep
December 2024
Division of Neurosurgery, Department of Surgery, Brawijaya University/Dr Saiful Anwar General Hospital, Malang, East Java, Indonesia.
Article Synopsis
- Schwannomas are benign tumors typically found near spinal nerve roots, but large cases with cystic degeneration are difficult to diagnose before surgery and are not well-researched in medical literature.
- A case is presented of a 28-year-old man with a giant schwannoma causing intermittent pain in his left thigh; MRI revealed a complex cystic lesion extending from L4 to S1.
- Successful surgical removal of the tumor led to symptom resolution, highlighting the need for accurate diagnosis through MRI and histopathology, and emphasizing that complete surgical excision is the preferred treatment approach.
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