Surgery of vestibular schwannomas: an institutional experience.

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dc.contributor.authorJain, Vijendra Ken_US
dc.contributor.authorMehrotra, Naveenen_US
dc.contributor.authorSahu, Rabi Narayanen_US
dc.contributor.authorBehari, Sanjayen_US
dc.contributor.authorBanerji, Deepuen_US
dc.contributor.authorChhabra, Devendra Ken_US
dc.date.accessioned2005-03-05en_US
dc.date.accessioned2009-06-03T12:44:16Z
dc.date.available2005-03-05en_US
dc.date.available2009-06-03T12:44:16Z
dc.date.issued2005-03-05en_US
dc.description.abstractAIMS: To report management results of vestibular schwannomas (VS) treated surgically in our institute, with particular reference to completeness of tumor excision, facial nerve and hearing preservation and complications of surgery. STUDY DESIGN AND SETTINGS: Retrospective study of 259 patients treated during the years 1988 to 2002. MATERIALS AND METHODS: The facial nerve function and hearing assessment was done according to House-Brackmann [HB] grading and pure tone audiometry (PTA) respectively. All patients were operated by retro-mastoid sub-occipital approach. RESULTS: Most patients had large tumors and had no useful hearing (90%), had disabling cerebellar ataxia (88%) and presented with features of raised intra-cranial pressure (45%). Large sized tumors were in 41.3% and giant sized tumors were in 56% cases. Complete tumor excision was carried out in 96.5% and anatomical preservation of facial nerve was achieved in 79.2% cases. Hearing preservation was achieved in 8 patients. Cerebrospinal fluid leak with or without meningitis and transient lower cranial nerve paresis were common complications. The mortality was 6%. CONCLUSIONS: With experience, complete tumor excision with good facial nerve preservation can be achieved in large tumors. Hearing preservation is difficult in bigger tumors. Prevention and control of infection was a major concern.en_US
dc.description.affiliationDepartment of Neurosurgery, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow 226-014, India. vkjain@sgpgi.ac.inen_US
dc.identifier.citationJain VK, Mehrotra N, Sahu RN, Behari S, Banerji D, Chhabra DK. Surgery of vestibular schwannomas: an institutional experience. Neurology India. 2005 Mar; 53(1): 41-5; discussion 45en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/121751
dc.language.isoengen_US
dc.source.urihttps://neurologyindia.comen_US
dc.subject.meshAdolescenten_US
dc.subject.meshAdulten_US
dc.subject.meshAgeden_US
dc.subject.meshChilden_US
dc.subject.meshFacial Nerve --physiologyen_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshNeuroma, Acoustic --surgeryen_US
dc.subject.meshNeurosurgical Procedures --methodsen_US
dc.subject.meshPostoperative Complicationsen_US
dc.subject.meshRetrospective Studiesen_US
dc.subject.meshTreatment Outcomeen_US
dc.titleSurgery of vestibular schwannomas: an institutional experience.en_US
dc.typeJournal Articleen_US
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