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Treatment options for unilateral vestibular schwannoma: a network meta-analysis.
BMC Cancer
December 2024
Department of Neurosurgery, The First Medical Center of Chinese PLA General Hospital, Beijing, China.
This study aimed to explore the effect of observation, microsurgery, and radiotherapy for patients with vestibular schwannoma (VS). We searched PubMed, Medline, Embase, Web of Science, and Cochrane library from their establishment to July 31, 2024. 34 non-RCTs and 1 RCT that included 6 interventions were analyzed.
View Article and Find Full Text PDFManagement of treatment-naïve Koos grade IV vestibular schwannomas using hypofractionated Gamma Knife radiosurgery: a retrospective single-institution study.
Neurosurg Rev
November 2024
Department of Neurosurgery, Koç University School of Medicine, Türkiye Davutpasa Caddesi No:4, Istanbul, Zeytinburnu/İstanbul, 34010, Turkey.
While single-fraction Gamma Knife radiosurgery (GKRS) has shown efficacy in managing vestibular schwannomas (VSs), some concerns have been raised regarding its safety profile, particularly in the context of hearing preservation. Hypofractionation has emerged as a promising approach to improving the safety profile. This retrospective, single-institution study evaluated patient outcomes following hypofractionated GKRS (hf-GKRS) for treatment-naïve Koos grade IV VSs.
View Article and Find Full Text PDFPurely Endoscopic Subtemporal Keyhole Approach for Trigeminal Schwannomas: Surgical Techniques and Early Results.
Oper Neurosurg (Hagerstown)
November 2024
Department of Neurosurgery, Osaka Metropolitan University Graduate School of Medicine, Osaka, Japan.
Background And Objectives: In the past, microscopic transcranial approach was the mainstay of treatment of trigeminal schwannomas. In recent years, several endoscopic procedures have been reported for trigeminal schwannomas. For trigeminal schwannomas arising around the Meckel cave, we introduced a fully endoscopic procedure with a small temporal craniotomy in June 2020 and have performed radical tumor removal as in the conventional approach.
View Article and Find Full Text PDFEndoscopic 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 PDFRadiologic Clue to Cavernous Sinus Hemangioma Diagnosis.
World Neurosurg
December 2024
Neurological Imaging Department, Centro Hospitalar Universitário de Lisboa Norte, Lisboa, Portugal; Imaging University Clinic, Faculdade de Medicina da Universidade de Lisboa, Lisboa, Portugal. Electronic address:
We describe a case of a 57-year-old woman presenting initially with diplopia who later developed retro-orbital and retroauricular pain. Examination showed right abducens nerve palsy and subsequent right trigeminal nerve hyperesthesia. Neuroimaging revealed a well-defined mass confined to the right cavernous sinus, with high T2 signal intensity and homogeneous enhancement on postgadolinium T1-weighted images.
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