Surgical management of jugular foramen schwannomas
Aftahy AK, Groll M, Barz M, Bernhardt D, Combs SE, Meyer B, Negwer C, Gempt J (2021)
Publication Type: Journal article
Publication year: 2021
Journal
Book Volume: 13
Article Number: 4218
Journal Issue: 16
Abstract
Background: Resection of jugular foramen schwannomas (JFSs) with minimal cranial nerve (CN) injury remains difficult. Reoperations in this vital region are associated with severe CN deficits. Methods: We performed a retrospective analysis at a tertiary neurosurgical center of patients who underwent surgery for JFSs between June 2007 and May 2020. We included nine patients (median age 60 years, 77.8% female, 22.2% male). Preoperative symptoms included hearing loss (66.6%), headache (44.4%), hoarseness (33.3%), dysphagia (44.4%), hypoglossal nerve palsy (22.2%), facial nerve palsy (33.3%), extinguished gag reflex (22.2%), and cerebellar dysfunction (44.4%). We observed Type A, B, C, and D tumors in 3, 1, 1, and 4 patients, respectively. A total of 77.8% (7/9) underwent a retrosigmoid approach, and 33.3% (3/9) underwent an extreme lateral infrajugular transcondylar (ELITE) approach. Gross total resection (GTR) was achieved in all cases. The rate of shunt-dependent hydrocephalus was 22.2% (2/9). No further complications requiring surgical intervention occurred during follow-up. The median follow-up time was 16.5 months (range 3–84 months). Conclusions: Considering the satisfying outcome, the GTR of JFSs is feasible in performing well-known skull base approaches. Additional invasive and complicated approaches were not needed. Radiosurgery may be an effective alternative for selected patients.
Involved external institutions
Germany (DE)How to cite
APA:
Aftahy, A.K., Groll, M., Barz, M., Bernhardt, D., Combs, S.E., Meyer, B.,... Gempt, J. (2021). Surgical management of jugular foramen schwannomas. Cancers, 13(16). https://doi.org/10.3390/cancers13164218
MLA:
Aftahy, Amir Kaywan, et al. "Surgical management of jugular foramen schwannomas." Cancers 13.16 (2021).
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