56yo man with severe left hearing loss and moderate ataxia.
MRI: Left Koos IV cystic VS
Microneurosurgical nearly total resection by retrosigmoid approach: a thin layer of the capsule of the cyst, very adherent to the brainstem, was left. It will be followed by serial MRI.
He was out of the bed the day after surgery, without any permanent new neuro deficits.
Nowadays, majority of patients ask me more and more to preserve life and functions, accepting that a minimal residue of tumor, adherent to crucial neuroanatomical structures, could be left (especially in large and in cystic VS).
Searching for the Balance Between Preservation of Function and Maximal Tumor Removal. Neurosurg Rev 2021 doi: 10.1007/s10143-021-01501-9
info: schwannoma.vestibolare@gmail.com
R.O.M.A.
