Commentary: Anterior Petrosal Approach for Enlarging Previously Radiated Recurrent Trigeminal Schwannoma: 2-Dimensional Operative Video

2021 ◽  
Vol 20 (5) ◽  
pp. E354-E355
Author(s):  
Adesh Shrivastava ◽  
Suresh Nair
2020 ◽  
Author(s):  
Alice E. Huang ◽  
Garret W. Choby ◽  
Jacob Dey ◽  
Matthew L. Carlson ◽  
Jamie J. Van Gompel ◽  
...  

Author(s):  
Sima Sayyahmelli ◽  
Emel Avci ◽  
Burak Ozaydin ◽  
Mustafa K. Başkaya

AbstractTrigeminal schwannomas are rare nerve sheet tumors that represent the second most common intracranial site of occurrence after vestibular nerve origins. Microsurgical resection of giant dumbbell-shaped trigeminal schwannomas often requires complex skull base approaches. The extradural transcavernous approach is effective for the resection of these giant tumors involving the cavernous sinus.The patient is a 72-year-old man with headache, dizziness, imbalance, and cognitive decline. Neurological examination revealed left-sided sixth nerve palsy, a diminished corneal reflex, and wasting of temporalis muscle. Magnetic resonance imaging (MRI) showed a giant homogeneously enhancing dumbbell-shaped extra-axial mass centered within the left cavernous sinus, Meckel's cave, and the petrous apex, with extension to the cerebellopontine angle. There was a significant mass effect on the brain stem causing hydrocephalus. Computed tomography (CT) scan showed erosion of the petrous apex resulting in partial anterior autopetrosectomy (Figs. 1 and 2).The decision was made to proceed with tumor resection using a transcavernous approach. Gross total resection was achieved. The surgery and postoperative course were uneventful, and the patient woke up the same as in the preoperative period. MRI confirmed gross total resection of the tumor. The histopathology was a trigeminal schwannoma, World Health Organization (WHO) grade I. The patient continues to do well without any recurrence at 15-month follow-up.This video demonstrates important steps of the microsurgical skull base techniques for resection of these challenging tumors.The link to the video can be found at https://youtu.be/TMK5363836M


Skull Base ◽  
2009 ◽  
Vol 19 (06) ◽  
pp. 425-430 ◽  
Author(s):  
Jaime Gasco ◽  
Yvonne Kew ◽  
Andrew Livingston ◽  
James Rose ◽  
Yi Jonathan Zhang

2012 ◽  
Vol 40 (1) ◽  
pp. e15-e18 ◽  
Author(s):  
Franco Servadei ◽  
Antonio Romano ◽  
Andrea Ferri ◽  
Alice Sara Magri ◽  
Enrico Sesenna

2016 ◽  
Vol 77 (01) ◽  
pp. e56-e61 ◽  
Author(s):  
Alexander Malone ◽  
Ricky Wong ◽  
Harry van Loveren ◽  
K. Boyev ◽  
Christopher Ito

2006 ◽  
Vol 29 (4) ◽  
pp. 348-352 ◽  
Author(s):  
Anita Jagetia ◽  
N. Pratap Kumar ◽  
Daljit Singh ◽  
Sanjiv Sinha

2021 ◽  
Author(s):  
Vijay A. Patel ◽  
Sean P. Polster ◽  
Hussam Abou-Al-Shaar ◽  
Zachary M. Kassir ◽  
Paul A. Gardner ◽  
...  

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