'Interdural' Surgical Strategy for Lower Cranial Nerve Neurinomas-A Report of 14 Cases
| Autor: | Saswat Dandpat, Survendra Rai, Ravikiran Vutha, Nishchith Sudarshan, Abhidha Shah, Neha Jadhav, Akshay Hawaldar, Atul Goel |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Surgical resection
Adult Male 2019-20 coronavirus outbreak medicine.medical_specialty Surgical strategy Adolescent Transmastoid approach Tumor resection Neurosurgical Procedures 03 medical and health sciences Young Adult 0302 clinical medicine Postoperative Complications Jugular Foramina medicine Humans Cranial Nerve Neoplasms Aged Single stage business.industry Jugular fossa Middle Aged Magnetic Resonance Imaging Surgery medicine.anatomical_structure 030220 oncology & carcinogenesis Female Neurology (clinical) Dura Mater Presentation (obstetrics) Jugular Veins business 030217 neurology & neurosurgery Neurilemmoma |
| Zdroj: | World neurosurgery. 143 |
| ISSN: | 1878-8769 |
| Popis: | Objective We describe the dural relationships and its surgical implications for large lower cranial nerve (CN) neurinomas. The study is based on surgical experience with 14 cases. Methods During the period January 2014 to December 2019, 14 consecutive cases with large lower CN neurinomas were surgically treated with the aim of radical tumor resection. Results There were 9 males and 5 females, ranging in age from 17 to 65 years. All patients were operated in a single stage. The principal surgical observation was that the entire extent of tumor, which included intracranial, jugular fossa, and extracranial components, was within the “dural” confines and the tumor adjoining critical neural and vascular structures was displaced around the dome of the tumor. Radical surgical resection was achieved in all cases. During the follow-up period that ranged from 3 to 71 months (average 32 months), no symptomatic recurrence was observed and no patient needed reoperation. At the time of last clinical follow-up, the lower CN function in all patients was better than at the time of presentation. Conclusions The “dural” cover of the lower CN neurinomas forms a strong and reliable plane of compartmentalization and allows safe tumor resection. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect