Surgical treatment of cystic vestibular schwannoma (clinical case)

Vladimir A. Chekhonatskiy, Oleg N. Dreval, Aleksandr V. Kuznetsov, Aleksandr V. Gorozhanin, Andrei A. Shestakov, Maksim M. Budanov, Larisa A. Sidneva
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Abstract

Objective: to demonstrate the result of successful treatment of a patient with cystic vestibular schwannoma. Currently, there is no single approach to choosing a surgical treatment method of cystic vestibular schwannoma. When choosing tactics, neurosurgeons are guided, as a rule, by the location of the tumor and the thickness of its walls. Emptying the cyst can also lead to a change in the existing relationship of the tumor with neighboring structures, especially with the facial nerve. The chosen method of treatment of this disease in the form of total removal of cystic vestibular schwannoma under the control of neurophysiological monitoring made it possible to achieve early activation of the patient and avoid postoperative complications, preserve the function the facial and trigeminal nerves involved in the tumor capsule.
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囊性前庭神经鞘瘤的外科治疗(附1例)
目的:探讨囊性前庭神经鞘瘤的成功治疗效果。目前,对于囊性前庭神经鞘瘤的手术治疗方法尚无单一的选择方法。神经外科医生通常根据肿瘤的位置和肿瘤壁的厚度来选择手术策略。排空囊肿也会改变肿瘤与邻近结构的关系,尤其是与面神经的关系。本病的治疗方法选择在神经生理监测控制下全切除囊性前庭神经鞘瘤,可使患者早期活化,避免术后并发症,保留肿瘤包膜受累面神经和三叉神经的功能。
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