Long D M
Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Curr Opin Neurol Neurosurg. 1992 Dec;5(6):813-7.
The principal non-glial tumors of the brain are meningiomas and acoustic schwannomas. Advances in the management of meningiomas have included endovascular techniques for embolization to reduce blood loss, radical surgical approaches, and the recognition of the high recurrence rate of these tumors. Advances in the management of acoustic tumors have been in preservation of VIIth nerve function, improved preservation of hearing, and the availability of stereotactic radiosurgical techniques as an alternative. There is still a substantial discussion concerning the route of surgery for acoustic tumors and not all agree that hearing preservation is a reasonable goal at present.
脑的主要非神经胶质肿瘤是脑膜瘤和听神经鞘瘤。脑膜瘤治疗方面的进展包括用于栓塞以减少失血的血管内技术、根治性手术方法以及对这些肿瘤高复发率的认识。听神经瘤治疗方面的进展在于保留面神经功能、改善听力保留以及立体定向放射外科技术作为一种替代方法的应用。关于听神经瘤的手术路径仍有大量讨论,并且目前并非所有人都认为保留听力是一个合理的目标。