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A vestibular schwannoma (VS), also called acoustic neuroma, is a benign tumor that develops on the vestibulocochlear nerve that passes from the inner ear to the brain. The tumor originates when Schwann cells that form the insulating myelin sheath on the nerve malfunction. Normally, Schwann cells function beneficially to protect the nerves which ...
The translabyrinthine approach was developed by William F. House, M.D., [2] who began doing dissections in the laboratory with the aid of magnification and subsequently developed the first middle cranial fossa and then the translabyrinthine approach for the removal of acoustic neuroma.
The most common applications are in spinal surgery; selected brain surgeries; carotid endarterectomy; ENT procedures such as acoustic neuroma (vestibular schwannoma) resection, parotidectomy; and nerve surgery. Motor evoked potentials have also been used in surgery for thoracic aortic aneurysm. Intraoperative monitoring is used to :
NF2 is a genetic disorder that is characterised by the development of non-cancerous tumours along the nervous system. These vestibular schwannomas (also known as acoustic neuromas) often form on the auditory nerve, and surgical removal of these NF2 tumours can damage the auditory nerve and limiting the patient's ability to hear. [6]
The most common cerebellopontine angle (CPA) tumor is a vestibular schwannoma affecting cranial nerve VIII (80%), followed by meningioma (10%). The cranial nerves affected are (from most common to least common) : VIII (cochlear component), VIII (vestibular component), V Acoustic neuroma/vestibular schwannoma
NF2 is a genetically transmitted condition. Diagnosis is most common in early adulthood (20–30 years); however, it can be diagnosed earlier. NF2 can be diagnosed due to the presence of a bilateral vestibular schwannoma, or an acoustic neuroma, which causes a hearing loss that may begin unilaterally. [14]
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For asymptomatic or incidental schwannomas or neurofibromas, only continued imaging is typically indicated to assess whether tumor growth is occurring. [1] Surgical resection may be an option for tumors causing extensive radicular pain or other symptoms, and for tumors exhibiting aggressive behavior. [ 1 ]
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