Saratov JOURNAL of Medical and Scientific Research

Surgical treatment of cystic vestibular schwannoma (clinical case)

Year: 2023, volume 19 Issue: №2 Pages: 159-163
Heading: neurosurgery Article type: Case report
Authors: Chekhonatskiy V.A., Dreval O.N., Kuznetsov A.V., Gorozhanin A.V., Shestakov A.A., Budanov M.M., Sidneva L.A.
Organization: S. Botkin City Clinical Hospital, Moscow
Summary:

Objective: to demonstrate the result of successful treatment of a patient with cystic vestibular schwannoma. Currently, there is no single approach to choosing a surgical treatment method of cystic vestibular schwannoma. When choosing tactics, neurosurgeons are guided, as a rule, by the location of the tumor and the thickness of its walls. Emptying the cyst can also lead to a change in the existing relationship of the tumor with neighboring structures, especially with the facial nerve. The chosen method of treatment of this disease in the form of total removal of cystic vestibular schwannoma under the control of neurophysiological monitoring made it possible to achieve early activation of the patient and avoid postoperative complications, preserve the function the facial and trigeminal nerves involved in the tumor capsule.

Bibliography:
1. TastanbekovMM, UlitinAY, Olyushin VE. Giant vestibular schwannomas: issues of diagnosis and organization of medical care. The Russian Neurosurgical Journal named after prof. A. L. Polenov. 2011; 3 (4): 27-30.
2. Goldbrunner R, Weller М, Regis J, Lund-Johansen M. EANO guideline on the diagnosis and treatment of vestibular schwannoma. Neuro Oncol. 2020; (22): 31-45.
3. Gupta V, Thakker A, Gupta K. Vestibular schwannoma: what we know and where we are heading. Head Neck Pathol. 2020; (3): 1058-66.
4. Brackmann D. Vestibular schwannoma (acoustic neuroma). Otolaryngol Clin North Am. 2012; (2): 13-5.
5. Yong-Ping Y, Jun-Xia Z, Ai-Lin L, Ning L. Vestibular schwannoma surgical treatment. CNS Neurosci Ther. 2013; (19): 289-93.
6. Thakur JD, Khan IS, Shorter CD. Do cystic vestibular schwannomas have worse surgical outcomes? Systematic analysis of the literature. Neurosurg Focus. 2012; (33): 1-8.
7. Bozhkov Y, Shawarba J, Feulner J. Prediction of hearing preservation in vestibular schwannoma surgery according to tumor size and anatomic extension. Otolaryngol Head Neck Surg. 2022; (3): 530-6.
8. Ganz J. Vestibular Schwannomas. Prog Brain Res. 2022; (268): 133-62.
9. Chou K, Bing-Huang T, Wen-Yen H, Dueng-Yuan H. Morbidity in vestibular schwannoma surgery. J Neurosurg. 2014; (120): 785-6.
10. Metwali H, Samii M, Samii A, Gerganov V The peculiar cystic vestibular schwannoma: A single-center experience. World Neurosurg. 2014; (82): 1271-5.
11. Xia L, Zhang H, Yu C, Zhang M, et al. Fluid-fluid level in cystic vestibular schwannoma: A predictor of peritumoral adhesion. J Neurosurg. 2014; (120): 197-206.
12. Yong Y, Lei J, Rulin B. Cystic vestibular schwannoma resection through suboccipital retrosigmoid approach. Neurol India. 2022; (70): 1366-9.
13. Russel A, Hoffmann C, Nguyen D. Can the risks of cerebrospinal fluid leak after vestibular schwannoma surgery be predicted? Otol Neurotol. 2017; (38): 248-52.
14. Pryanikov MV, Tastanbekov MM, Pustovoy SV, et al. Vestibular schwannomas with pronounced cystic component. Features of clinical picture, diagnosis, surgical treatment tactics. The Russian Neurosurgical Journal named after prof. A. L. Polenov. 2016; 8 (3): 46-52.
15. Wu X, Song G, Wang X, et al. Comparison of surgical outcomes in cystic and solid vestibular schwannomas: A systematic review and meta-analysis. Neurosurgical Rewiew. 2021; 44 (4): 1889-902.
16. Piccirillo E, Wiet MR, Flanagan S, et al. Cystic vestibular schwannoma: classification, management, and facial nerve outcomes. Otolneurotol. 2009; 30 (6): 826-34.

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