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Lesions in the area of cerebellopontine angle cause signs and symptoms secondary to compression of nearby cranial nerves, including cranial nerve V (trigeminal), cranial nerve VII (facial), and cranial nerve VIII (vestibulocochlear). The most common cerebellopontine angle (CPA) tumor is a vestibular schwannoma affecting cranial nerve VIII (80% ...
The translabyrinthine approach is a surgical approach to treating serious disorders of the cerebellopontine angle, (CPA), which is the most common location of posterior fossa tumors. especially acoustic neuroma. [1]
Thus Koos grade 1 is a purely intrameatal (IAC) tumor, 1–10 mm in size; Koos grade 2, 10–20 mm, has extended into the cerebellopontine angle (CPA), but with no brainstem contact; Koos grade 3, 20–30 mm, fills the CPA space and touches on the brainstem, but without compression; and Koos grade 4, more than 30 mm in size, compresses the ...
The cerebellopontine angle (CPA) (Latin: angulus cerebellopontinus) is located between the cerebellum and the pons. [1] The cerebellopontine angle is the site of the cerebellopontine angle cistern. [2] The cerebellopontine angle is also the site of a set of neurological disorders known as the cerebellopontine angle syndrome.
Epidermoid tumors strongly adhere to the brain stem or cranial nerves. Often the lining of the tumor connected to the brain stem or parts difficult to "peel" away are left behind leaving residual tumor after surgery, this can contribute to the risk of regrowth. About 40% of these cysts originate in the cerebellopontine angle. [3]
Planning CT scan with IV contrast in a patient with left cerebellopontine angle vestibular schwannoma. The fundamental principle of radiosurgery is that of selective ionization of tissue, by means of high-energy beams of radiation. Ionization is the production of ions and free radicals which are damaging to the cells. These ions and radicals ...
A craniotomy is a surgical operation in which a bone flap is temporarily removed from the skull to access the brain.Craniotomies are often critical operations, performed on patients who are suffering from brain lesions, such as tumors, blood clots, removal of foreign bodies such as bullets, or traumatic brain injury, and can also allow doctors to surgically implant devices, such as deep brain ...
Surgery alone is not curative. In addition, 30% of the AT/RTs are located supratentorially and a predilection exists for the cerebellopontine angle, [26] which makes surgical resection difficult. One-third or more children will have disseminated disease at the time of diagnosis. Total or near-total resections are often not possible.