ÇOK MERKEZLİ TRİGEMİNAL SCHWANNOMA OLGULARININ RETROSPEKTİF OLARAK DEĞERLENDİRİLMESİ

Haydar Çelik; Fatih Alagöz

RETROSPECTIVE EVALUATION OF MULTICENTER TRIGEMINAL SCHWANNOMA CASES

Year 2016, Volume: 49 Issue: 1, 24 - 29, 01.03.2016

Abstract

OBJECTIVE: We aimed to evaluate size and location of trigeminal schwannoma in terms of selected surgical procedures and surgical outcomes.MATERIAL AND METHODS: 14 patients were included in the study that is operated for trigeminal schwannoma between the years 2008-2015 in Ankara Training and Research Hospital and Ankara Numune Education and Research Hospital neurosurgery clinics. In all cases diagnostic x-ray, computed tomography CT , magnetic resonance imaging MRI and in some cases cerebral angiography has been used. Case evaluation based on the size, location and selected surgical procedure.RESULTS: The mean age of patients was 45.1. In all cases, follow-up was 3 months. 11 cases with posterior fossa , 2 case with middle fossa, one of cases showed the placement of multiple components . In surgery, 12 cases totally resected, 2 cases were gross total resected. 2 cases of postoperative facial paralysis were appeared.CONCLUSION: Rare cases of trigeminal schwannoma tumors with complex anatomical location in the surgical treatment and goal should be totally resection

Keywords

Trigeminal Schwannoma, total excision, surgical approach

References

)Ross C,et al. Massive schwannoma of the nose and parana- sal sinuses. South Med J. 1988; 81: 1588-91.
)Arseni C, Dumitrescu L, Constantinescu A: Neurinomas of the trigeminal nerve. Surg Neurol. 1975; 4: 497-503.
)Day JD, Fukushima T: The surgical management of trige- minal neuromas. Neurosurgery. 1998; 42: 233-241.
)McCormick PC, Bello JA, Post KD: Trigeminal schwanno- ma: surgical series of 14 patients and review of the literature. J Neurosurg. 1988; 69: 850-860.
)Tsuboi K, Fujimori H, Tomono Y, Hamano K and Nose T. Dumbbell-shaped trigeminal neurinoma in a child. Acta Neurochir (Wien). 1999; 141: 429-433.
)Hakuba A, Nishimura S, Inoue Y: Transpetrosal-transten- torial approach and its application in the therapy of retrochi- asmatic craniopharingiomas. Surg Neurol. 1985; 24: 405-415.
)Mello LR, Tänzer A. Some aspects of trigeminal neurino- mas.Neuroradiology. 1972; 4: 215-221.
)Dolenc VV: Frontotemporal epidural approach to trigemi- nal neurinomas. Acta Neurochir (Wien). 1994; 130: 55-56
)Edwards CH, Paterson JH: A review of the symptoms and signs of acoustics neurofibromata. Brain. 1951; 74: 144-190.
)Nager GT: Neurinomas of the trigeminal nerve. Am J Otalaryngol. 1984; 5: 301-333.
)Yoshida K, Kawase T: Trigeminal neurinomas extending into multiple fossae:surgical methods and review of the lite- rature. J Neurosurg. 1999; 91: 202-221.
)Jefferson G: The trigeminal neurinomas with some re- marks on malignant invasion of the gasserian ganglion. Clin Neurosurg. 1953; 1: 11-54.
)Samii M, Migliori MM, Tatagiba M, Babu R: Surgical treat- ment of trigeminal schwannomas. J Neurosurg. 1995; 82: 711-14.
)Jefferson G: The trigeminal neurinoma with some re- marks on malignant invasion of the gasserian ganglion. Coo Neurosurg. 1995; 1: 11-54.
)Goel A, Nadkarni T: Basal lateral subtemporal approach for trigeminal neurinomas: report of an experience with 18 cases. Acta Neurochir (Wien). 1999; 141: 711-719.
)Shibao S, Akiyama T, Tomita H, Kuramae T, Mochizuki Y, Yoshida K. Frontotemporal epi- and subdural approach to a cavernous sinus tumor for sphenobasal vein preservation-te- chnical case report.Neurosurg Rev. 2016; 39: 169-74.
)Konovalov AV, Spallone A, Mukhamedjanov DJ, Tchere- kajev VA, Makhmudov UB: Trigeminal neurinomas : A series of 111 surgical cases from a single institution.Acta Neurochir (Wien). 1996; 138: 1027-1035.
)Ganesan P, Sankaran P, Kothandaraman PP. A Rare Case of Hearing Impairment due to Cerebello-Pontine Angle Lesi- on: Trigeminal Schwannoma. J Int Adv Otol. 2015; 11: 170-2.
)Beck OW. Menezes AH: Lesions in Meckel's cave: variable presentation and pathology. J. Neurosurg. 1987; 67: 684-89.
)Schisano G. Oliveaona H: Neurinomas of the gasserian ganglion and trigeminal root. j. Neurosurg. 1960; 17: 306-321.
)Pollack IF. Sekhar LN.Janetta PJ. et aI: Neurilemomas of the trigeminalnerve. J. Neurosurg. 1989; 70: 737-45.
)Seeger JF. Gabrielsen TO: Computed tomography, in Sch- neider RC. Kahn EA. Crosby EC,Taren JA (EOS):Correlative Neurosurgery. Springfield: Charles C Thomas. 1982; 31-98.
)Yonas H. janetta Pj: Neurinoma of the trigeminal root and atypical trigeminal neuralgia: their commonality. Neurosur- gery. 1980; 6: 273-77.
)Leu YS, Chang KC. Extracranial head and neck schwan- nomas: a review of 8 years experience. Acta Otolaryngol. ; 122: 435-7. )May 14. Raza SM, Amine MA, Anand V, Schwartz TH. Endoscopic Endonasal Resection of Trigeminal Schwanno- mas. Neurosurg Clin N Am. 2015; 26: 473-9.
)Lesion F. Rousseaux M. Villette L. et al: Neurinomas of the trio geminal nerve. Acta Neurochic (Wien). 1986; 82: 118-122.

ÇOK MERKEZLİ TRİGEMİNAL SCHWANNOMA OLGULARININ RETROSPEKTİF OLARAK DEĞERLENDİRİLMESİ

Year 2016, Volume: 49 Issue: 1, 24 - 29, 01.03.2016

Haydar Çelik Fatih Alagöz

Abstract

AMAÇ: Trigeminal Schwannoma olgularının yerleşim yeri, boyut, seçilen cerrahi yöntem ve cerrahi sonuçlar açısından değerlendirilmesi amaçlanmıştır.GEREÇ VE YÖNTEM: 2008-2015 yılları arasında Ankara Eğitim ve Araştırma Hastanesi ile Ankara Numune Eğitim ve Araştırma Hastanesi Beyin ve Sinir Cerrahisi Kliniklerinde trigeminal schwannoma nedeniyle opere edilen 14 hasta çalışmaya dahil edilmiştir. Tanısal olarak tüm olgularda x-ray, bilgisayarlı tomografi BT , manyetik rezonans görüntüleme MRG ve bazı olgularda serebral anjiyografi kullanılmıştır. Olgular muayene bulguları, kitlenin yerleşim yeri ve seçilen cerrahi yönteme dayanılarak değerlendirilmiştir.BULGULAR: Olguların yaş ortalaması 45,1’di. Tüm olgularda takip aralığı 3 ay olup olguların 11’i sadece posterior fossa, 2’si sadece orta fossa, 1’i ise birden fazla komponentte yerleşim göstermekteydi. Cerrahide 12 olguya total, 2 olguya ise gross total rezeksiyon gerçekleştirildi. 2 olguda postoperatif fasial paralizi ortaya çıktı.SONUÇ: Ender görülen Trigeminal Schwannoma olguları karmaşık anatomik yerleşim eğilimleri olan tümörlerdir ve cerrahi tedavilerinde amaç kitleyi total olarak çıkartmak olmalıdır

Keywords

Trigeminal Schwannoma, total çıkarım, cerrahi yöntem

References

)Ross C,et al. Massive schwannoma of the nose and parana- sal sinuses. South Med J. 1988; 81: 1588-91.
)Arseni C, Dumitrescu L, Constantinescu A: Neurinomas of the trigeminal nerve. Surg Neurol. 1975; 4: 497-503.
)Day JD, Fukushima T: The surgical management of trige- minal neuromas. Neurosurgery. 1998; 42: 233-241.
)McCormick PC, Bello JA, Post KD: Trigeminal schwanno- ma: surgical series of 14 patients and review of the literature. J Neurosurg. 1988; 69: 850-860.
)Tsuboi K, Fujimori H, Tomono Y, Hamano K and Nose T. Dumbbell-shaped trigeminal neurinoma in a child. Acta Neurochir (Wien). 1999; 141: 429-433.
)Hakuba A, Nishimura S, Inoue Y: Transpetrosal-transten- torial approach and its application in the therapy of retrochi- asmatic craniopharingiomas. Surg Neurol. 1985; 24: 405-415.
)Mello LR, Tänzer A. Some aspects of trigeminal neurino- mas.Neuroradiology. 1972; 4: 215-221.
)Dolenc VV: Frontotemporal epidural approach to trigemi- nal neurinomas. Acta Neurochir (Wien). 1994; 130: 55-56
)Edwards CH, Paterson JH: A review of the symptoms and signs of acoustics neurofibromata. Brain. 1951; 74: 144-190.
)Nager GT: Neurinomas of the trigeminal nerve. Am J Otalaryngol. 1984; 5: 301-333.
)Yoshida K, Kawase T: Trigeminal neurinomas extending into multiple fossae:surgical methods and review of the lite- rature. J Neurosurg. 1999; 91: 202-221.
)Jefferson G: The trigeminal neurinomas with some re- marks on malignant invasion of the gasserian ganglion. Clin Neurosurg. 1953; 1: 11-54.
)Samii M, Migliori MM, Tatagiba M, Babu R: Surgical treat- ment of trigeminal schwannomas. J Neurosurg. 1995; 82: 711-14.
)Jefferson G: The trigeminal neurinoma with some re- marks on malignant invasion of the gasserian ganglion. Coo Neurosurg. 1995; 1: 11-54.
)Goel A, Nadkarni T: Basal lateral subtemporal approach for trigeminal neurinomas: report of an experience with 18 cases. Acta Neurochir (Wien). 1999; 141: 711-719.
)Shibao S, Akiyama T, Tomita H, Kuramae T, Mochizuki Y, Yoshida K. Frontotemporal epi- and subdural approach to a cavernous sinus tumor for sphenobasal vein preservation-te- chnical case report.Neurosurg Rev. 2016; 39: 169-74.
)Konovalov AV, Spallone A, Mukhamedjanov DJ, Tchere- kajev VA, Makhmudov UB: Trigeminal neurinomas : A series of 111 surgical cases from a single institution.Acta Neurochir (Wien). 1996; 138: 1027-1035.
)Ganesan P, Sankaran P, Kothandaraman PP. A Rare Case of Hearing Impairment due to Cerebello-Pontine Angle Lesi- on: Trigeminal Schwannoma. J Int Adv Otol. 2015; 11: 170-2.
)Beck OW. Menezes AH: Lesions in Meckel's cave: variable presentation and pathology. J. Neurosurg. 1987; 67: 684-89.
)Schisano G. Oliveaona H: Neurinomas of the gasserian ganglion and trigeminal root. j. Neurosurg. 1960; 17: 306-321.
)Pollack IF. Sekhar LN.Janetta PJ. et aI: Neurilemomas of the trigeminalnerve. J. Neurosurg. 1989; 70: 737-45.
)Seeger JF. Gabrielsen TO: Computed tomography, in Sch- neider RC. Kahn EA. Crosby EC,Taren JA (EOS):Correlative Neurosurgery. Springfield: Charles C Thomas. 1982; 31-98.
)Yonas H. janetta Pj: Neurinoma of the trigeminal root and atypical trigeminal neuralgia: their commonality. Neurosur- gery. 1980; 6: 273-77.
)Leu YS, Chang KC. Extracranial head and neck schwan- nomas: a review of 8 years experience. Acta Otolaryngol. ; 122: 435-7. )May 14. Raza SM, Amine MA, Anand V, Schwartz TH. Endoscopic Endonasal Resection of Trigeminal Schwanno- mas. Neurosurg Clin N Am. 2015; 26: 473-9.
)Lesion F. Rousseaux M. Villette L. et al: Neurinomas of the trio geminal nerve. Acta Neurochic (Wien). 1986; 82: 118-122.

There are 25 citations in total.

Details

Primary Language	Turkish
Journal Section	Original Research Article
Authors	Haydar Çelik This is me Fatih Alagöz This is me
Publication Date	March 1, 2016
Published in Issue	Year 2016 Volume: 49 Issue: 1

Cite

AMA	Çelik H, Alagöz F. ÇOK MERKEZLİ TRİGEMİNAL SCHWANNOMA OLGULARININ RETROSPEKTİF OLARAK DEĞERLENDİRİLMESİ. Ankara Eğitim ve Araştırma Hastanesi Tıp Dergisi. March 2016;49(1):24-29.

Article Files

Full Text