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Aftahy, A.K.* ; Groll, M.* ; Barz, M.* ; Bernhardt, D.* ; Combs, S.E. ; Meyer, B.* ; Negwer, C.* ; Gempt, J.*

Surgical management of jugular foramen schwannomas.

Cancers 13:4218 (2021)
Publ. Version/Full Text DOI
Open Access Gold
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Background: Resection of jugular foramen schwannomas (JFSs) with minimal cranial nerve (CN) injury remains difficult. Reoperations in this vital region are associated with severe CN deficits. Methods: We performed a retrospective analysis at a tertiary neurosurgical center of patients who underwent surgery for JFSs between June 2007 and May 2020. We included nine patients (median age 60 years, 77.8% female, 22.2% male). Preoperative symptoms included hearing loss (66.6%), headache (44.4%), hoarseness (33.3%), dysphagia (44.4%), hypoglossal nerve palsy (22.2%), facial nerve palsy (33.3%), extinguished gag reflex (22.2%), and cerebellar dysfunction (44.4%). We observed Type A, B, C, and D tumors in 3, 1, 1, and 4 patients, respectively. A total of 77.8% (7/9) underwent a retrosigmoid approach, and 33.3% (3/9) underwent an extreme lateral infrajugular transcondylar (ELITE) approach. Gross total resection (GTR) was achieved in all cases. The rate of shunt-dependent hydrocephalus was 22.2% (2/9). No further complications requiring surgical intervention occurred during follow-up. The median follow-up time was 16.5 months (range 3–84 months). Conclusions: Considering the satisfying outcome, the GTR of JFSs is feasible in performing well-known skull base approaches. Additional invasive and complicated approaches were not needed. Radiosurgery may be an effective alternative for selected patients.
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Publication type Article: Journal article
Document type Scientific Article
Keywords Approach ; Jugular Foramen Tumor ; Neuro-oncology ; Schwannoma ; Skull Base Surgery ; Surgical Technique; Stereotactic Radiosurgery; Vestibular Schwannomas; Microsurgical Management; Hearing Preservation; Tumor-control; Radiotherapy; Outcomes; Resection; Series
ISSN (print) / ISBN 2072-6694
Journal Cancers
Quellenangaben Volume: 13, Issue: 16, Pages: , Article Number: 4218 Supplement: ,
Publisher MDPI
Publishing Place St Alban-anlage 66, Ch-4052 Basel, Switzerland
Reviewing status Peer reviewed