• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Open Journal of Modern Neurosurgery >Microsurgical Management of Vestibular Schwannomas with Brainstem Compression: Surgical Challenges and Outcome
【24h】

Microsurgical Management of Vestibular Schwannomas with Brainstem Compression: Surgical Challenges and Outcome

机译：前庭神经鞘瘤伴脑干压缩的显微外科治疗：外科手术的挑战和结果。

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Background: Vestibular schwannomas exerting brainstem compression with or without hydrocephalus are challenging for neurosurgeons regarding the plan of surgery, operative risk and postoperative sequale. Purpose: To report our experience with the surgical challenges and outcomes for Hannover type T4a & T4b vestibular schwannomas. Methods: Retrospective case study conducted at neurosurgery department, Mansoura University between October 2016 and May 2019 of 16 patients with vestibular schwannoma compressing the brainstem. We reviewed their clinical, radiological, surgical data, incidence of complications and outcome. Results: We had 16 patients: 10 of Hanover grade T4b and 6 of grade T4a. Gross total resection was achieved in 2 cases while subtotal resection was achieved in 5 cases and in the remaining 9 cases; only partial resection was feasible. We had 4 cases of mortality. Among new onset morbidity after surgery, 3 cases had post-operative bulbar manifestation and 4 cases had brainstem dysfunction. Conclusion: Vestibular schwannomas compressing the brain stem are challenging in their clinical presentation, surgery and post-operative outcome. The outcome of patients treated with hydrocephalus prior to vestibular schwannoma surgery is better than those who did initial VS surgery. Patients presented with significant brainstem, bulbar manifestation had worse outcome and needed longer ICU stay and longer time for recovery.
机译：背景：前庭神经鞘瘤在有或没有脑积水的情况下施加脑干受压对神经外科医生而言具有手术计划，手术风险和术后后遗症的挑战。目的：报告我们在汉诺威T4a和T4b型前庭神经鞘瘤的手术挑战和结局方面的经验。方法：回顾性病例研究于2016年10月至2019年5月在曼苏拉大学神经外科进行，研究了16例前庭神经鞘瘤压迫脑干的患者。我们审查了他们的临床，放射学，手术数据，并发症发生率和预后。结果：我们有16例患者：汉诺威T4b级10例，T4a级6例。 2例全部切除，5例次全切除，其余9例;仅部分切除是可行的。我们有4例死亡。在术后新发发病中，有3例术后延髓表现和4例脑干功能障碍。结论：前庭神经鞘瘤压缩脑干在其临床表现，手术和术后结果方面具有挑战性。前庭神经鞘瘤手术之前接受脑积水治疗的患者的结局要优于初次VS手术的患者。表现出明显脑干，延髓表现的患者预后较差，需要更长的ICU停留时间和更长的恢复时间。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号