PMCCPMCCPMCC

Search tips
Search criteria 

Advanced

 
Logo of skullbasesurgInstructions for AuthorsSubscribe to Skull BaseAbout Skull BaseEditorial BoardThieme Medical PublishingSkull Base An Interdisciplinary Approach ...
 
Skull base surgery. 1996 April; 6(2): 105–112.
PMCID: PMC1656582

Residual and Recurrent Acoustic Neuroma in Hearing Preservation Procedures

Neuroradiologic and Surgical Findings

Abstract

Magnetic resonance imaging with gadolinium DTPA is currently the most accurate method for detecting small intracanalicular yestibular schwannomas. This imaging modality is not nearly as clear in diagnosis of a small residual or recurrent neuroma after a hearing preservation procedure. This study looked for gadolinium-enhanced MRI images mimicking recurrent lesions in 104 consecutive cases of unilateral acoustic neuroma removed with a hearing preservation technique by the retrosigmoid transmeatal approach. A number of cases with enhancing MRI images in the internal anditory canal were reoperated, permitting the histologic examination of the enhancing tissue. Criteria for the MRI diagnosis of residual-recurrent acoustic neuroma are presented, along with the short-to mid-term rate of “residual-recurrent” tumor.

Full text

Full text is available as a scanned copy of the original print version. Get a printable copy (PDF file) of the complete article (3.0M), or click on a page image below to browse page by page. Links to PubMed are also available for Selected References.

Images in this article

Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Sterkers JM, Viala P, Benghalem A. Récidives des neurinomes de l'acoustique. Rev Laryngol Otol Rhinol (Bord) 1988;109(1):71–73. [PubMed]
  • Kemink JL, Langman AW, Niparko JK, Graham MD. Operative management of acoustic neuromas: the priority of neurologic function over complete resection. Otolaryngol Head Neck Surg. 1991 Jan;104(1):96–99. [PubMed]
  • Lownie SP, Drake CG. Radical intracapsular removal of acoustic neurinomas. Long-term follow-up review of 11 patients. J Neurosurg. 1991 Mar;74(3):422–425. [PubMed]
  • Thedinger BS, Whittaker CK, Luetje CM. Recurrent acoustic tumor after a suboccipital removal. Neurosurgery. 1991 Nov;29(5):681–687. [PubMed]
  • Schessel DA, Nedzelski JM, Kassel EE, Rowed DW. Recurrence rates of acoustic neuroma in hearing preservation surgery. Am J Otol. 1992 May;13(3):233–235. [PubMed]
  • Cerullo LJ, Grutsch JF, Heiferman K, Osterdock R. The preservation of hearing and facial nerve function in a consecutive series of unilateral vestibular nerve schwannoma surgical patients (acoustic neuroma). Surg Neurol. 1993 Jun;39(6):485–493. [PubMed]
  • Pollock BE, Lunsford LD, Kondziolka D, Flickinger JC, Bissonette DJ, Kelsey SF, Jannetta PJ. Outcome analysis of acoustic neuroma management: a comparison of microsurgery and stereotactic radiosurgery. Neurosurgery. 1995 Jan;36(1):215–229. [PubMed]
  • Smith M, Castillo M, Campbell J, Pillsbury H, Walters T. Baseline and follow-up MRI of the internal auditory canal after suboccipital resection of acoustic schwannoma: appearances and clinical correlations. Neuroradiology. 1995 May;37(4):317–320. [PubMed]
  • Neely JG. Gross and microscopic anatomy of the eighth cranial nerve in relationship to the solitary schwannoma. Laryngoscope. 1981 Sep;91(9 Pt 1):1512–1531. [PubMed]
  • Ylikoski J, Collan Y, Palva T, Jauhiainen T. Cochlear nerve in neurilemomas. Audiology and histopathology. Arch Otolaryngol. 1978 Dec;104(12):679–684. [PubMed]
  • Marquet JF, Forton GE, Offeciers FE, Moeneclaey LL. The solitary schwannoma of the eighth cranial nerve. An immunohistochemical study of the cochlear nerve-tumor interface. Arch Otolaryngol Head Neck Surg. 1990 Sep;116(9):1023–1025. [PubMed]
  • Luetje CM, Whittaker CK, Callaway LA, Veraga G. Histological acoustic tumor involvement of the VIIth nerve and multicentric origin in the VIIIth nerve. Laryngoscope. 1983 Sep;93(9):1133–1139. [PubMed]
  • Olivecrona H. Acoustic tumors. J Neurosurg. 1967 Jan;26(1):6–13. [PubMed]
  • Kameyama S, Tanaka R, Honda Y, Hasegawa A, Yamazaki H, Kawaguchi T. The long-term growth rate of residual acoustic neurinomas. Acta Neurochir (Wien) 1994;129(3-4):127–130. [PubMed]
  • Beatty CW, Ebersold MJ, Harner SG. Residual and recurrent acoustic neuromas. Laryngoscope. 1987 Oct;97(10):1168–1171. [PubMed]
  • Tucci DL, Telian SA, Kileny PR, Hoff JT, Kemink JL. Stability of hearing preservation following acoustic neuroma surgery. Am J Otol. 1994 Mar;15(2):183–188. [PubMed]
  • Burke JW, Podrasky AE, Bradley WG., Jr Meninges: benign postoperative enhancement on MR images. Radiology. 1990 Jan;174(1):99–102. [PubMed]
  • Elster AD, DiPersio DA. Cranial postoperative site: assessment with contrast-enhanced MR imaging. Radiology. 1990 Jan;174(1):93–98. [PubMed]
  • Mueller DP, Gantz BJ, Dolan KD. Gadolinium-enhanced MR of the postoperative internal auditory canal following acoustic neuroma resection via the middle fossa approach. AJNR Am J Neuroradiol. 1992 Jan-Feb;13(1):197–200. [PubMed]
  • Bronen RA, Sze G. Magnetic resonance imaging contrast agents: theory and application to the central nervous system. J Neurosurg. 1990 Dec;73(6):820–839. [PubMed]
  • Laasonen EM, Troupp H. Volume growth rate of acoustic neurinomas. Neuroradiology. 1986;28(3):203–207. [PubMed]

Articles from Skull Base Surgery are provided here courtesy of Thieme Medical Publishers