Schwannomas

T. Mathiesen, P. Förander, D. Pettersson
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引用次数: 3

摘要

散发性前庭神经鞘瘤是脑桥小脑角最常见的肿瘤,占所有颅内肿瘤的6-8%。在不同的报告中,发病率在每百万居民和年12至20例之间;这些肿瘤中有很大一部分在随访期间生长。治疗方案包括等待和扫描、显微手术、放射手术和放疗。显微和放射手术已被证实可以提供长期的肿瘤控制,但患者可能遭受听力障碍和面神经麻痹。出乎意料的是,眩晕和头痛对长期生活质量的影响更大。其他脑神经神经鞘瘤的症状取决于受影响的神经,当需要治疗时对相同的疗法有反应。
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Schwannomas
Sporadic vestibular schwannoma (VS) is the commonest tumour of the cerebellopontine angle and comprise 6–8% of all intracranial tumours. The incidence varies between 12 and 20 cases per million inhabitants and years in different reports; a large minority of these tumours grow during follow-up. Treatment options include wait and scan, microsurgery, radiosurgery, and radiotherapy. Micro- and radiosurgery are well validated to offer long-term tumour control, but patients may suffer from hearing deficit and facial nerve paresis. Unexpectedly, long-term life quality is more affected by vertigo and headaches. Other cranial nerve schwannomas cause symptoms depending on the affected nerves and respond to the same therapies when treatment is indicated.
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