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大型前庭神经鞘瘤:两阶段手术

Large Vestibular Schwannoma: A Two-Stage Surgery.

作者信息

de Melo Junior José Orlando, Landeiro José Alberto, Leal da Silveira Roberto

机构信息

Neurosurgery Department, Paulo Niemeyer State Brain Institute, Rio de Janeiro, BRA.

Neurosurgery Department, Antonio Pedro University Hospital, Rio de Janeiro, BRA.

出版信息

Cureus. 2023 Jan 9;15(1):e33552. doi: 10.7759/cureus.33552. eCollection 2023 Jan.

Abstract

Treatment of large vestibular schwannoma (VS) has historically centered on total resection of the lesion. Staged surgery has been used for VS that is highly vascularized, unexpected events during surgery, and thinned and stretched facial nerve with serious adherence causing difficult dissection. We present a case of a patient with a large VS resected through a two-stage surgery through the same retrosigmoid craniotomy.

摘要

大型前庭神经鞘瘤(VS)的治疗在历史上一直以病变的全切除为中心。分期手术已用于血管高度丰富的VS、手术期间的意外情况以及面神经变薄和拉长且粘连严重导致解剖困难的情况。我们报告一例通过相同乙状窦后开颅术分两期手术切除大型VS的患者病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff98/9908090/3abe3423dba9/cureus-0015-00000033552-i05.jpg

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