Microsurgical Gross Total Resection of an Intracanalicular-Cisternal (Koos-4) Vestibular Schwannoma via a Retrosigmoid Approach with Intraoperative Endoscopic Assistance

被引:1
|
作者
Barbero, Juan M. Revuelta [1 ]
Porto, Edoardo [1 ]
Medina, Eduardo J. [1 ]
Bray, David P. [1 ]
Garzon-Muvdi, Tomas [1 ]
Solares, C. Arturo [2 ]
Pradilla, Gustavo [1 ]
机构
[1] Emory Univ, Dept Neurosurg, Atlanta, GA 30322 USA
[2] Emory Univ, Dept Otolaryngol Head & Neck Surg, Atlanta, GA 30322 USA
关键词
Posterior fossa; Translabyrinthine approach; Vestibular schwannoma;
D O I
10.1016/j.wneu.2021.11.110
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
We present the case of a 23-year-old female with a history of progressive hearing loss in the left ear, dizziness, and vertigo. Magnetic resonance imaging demonstrated a left mass extending from the internal auditory canal into the cerebellopontine angle (Koos-4).1 A retrosigmoid approach assisted with a microinspection tool was chosen.2-5 Microsurgical near total resection was achieved. The patient presented a postoperative facial deficit (House-Brackman grade 2 postoperative), with complete resolution after 2 months. Video 1 highlights the critical steps of the retrosigmoid approach and the benefit of using the microinspection tool for vestibular schwannoma resection. © 2021 Elsevier Inc.
引用
收藏
页码:225 / 225
页数:1
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