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Skull base surgery. 2000; 10(2): 95–99.
PMCID: PMC1656765

Fast-Growing Vestibular Schwannoma

Abstract

A case of a Jehovah's witness affected by an intracanalicular vestibular schwannoma with an extremely fast growth rate is presented. Nine months after presentation, the tumor reached 23 mm in the cerebellopontine angle. A partial removal through a retrosigmoid approach was planned. Because of the presence of a dominant high jugular bulb masquering the internal auditory canal, the intracanalicular portion of the tumor was left in place. The residual tumor grew 12 mm in 2 months. Even after a gross total removal through a middle cranial fossa approach, the tumor recurred, reaching the size of 30 mm in 17 months. A modified transcochlear approach was then performed, and the patient was free of disease at the last radiologic follow-up, 8 months after the surgery. We illustrate our strategy in treating this aggressive benign lesion with unusual behavior.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Moffat DA, Saunders JE, McElveen JT, Jr, McFerran DJ, Hardy DG. Unusual cerebello-pontine angle tumours. J Laryngol Otol. 1993 Dec;107(12):1087–1098. [PubMed]
  • Kohan D, Downey LL, Lim J, Cohen NL, Elowitz E. Uncommon lesions presenting as tumors of the internal auditory canal and cerebellopontine angle. Am J Otol. 1997 May;18(3):386–392. [PubMed]
  • Charabi S, Thomsen J, Mantoni M, Charabi B, Jørgensen B, Børgesen SE, Gyldensted C, Tos M. Acoustic neuroma (vestibular schwannoma): growth and surgical and nonsurgical consequences of the wait-and-see policy. Otolaryngol Head Neck Surg. 1995 Jul;113(1):5–14. [PubMed]
  • Rosenberg SI, Silverstein H, Gordon MA, Flanzer JM, Willcox TO, Silverstein J. A comparison of growth rates of acoustic neuromas: nonsurgical patients vs. subtotal resection. Otolaryngol Head Neck Surg. 1993 Sep;109(3 Pt 1):482–487. [PubMed]
  • Ohata K, Haque M, Morino M, Nagai K, Nishio A, Nishijima Y, Hakuba A. Occlusion of the sigmoid sinus after surgery via the presigmoidal-transpetrosal approach. J Neurosurg. 1998 Oct;89(4):575–584. [PubMed]
  • Brookes GB, Graham MD. Benign intracranial hypertension complicating glomus jugulare tumor surgery. Am J Otol. 1984 Jul;5(5):350–354. [PubMed]
  • House JW, Brackmann DE. Facial nerve grading system. Otolaryngol Head Neck Surg. 1985 Apr;93(2):146–147. [PubMed]
  • Fisch U. Transtemporal supralabyrinthine (middle cranial fossa) vestibular neurectomy: a review of the last 100 cases. Skull Base Surg. 1996;6(4):221–225. [PMC free article] [PubMed]
  • Charabi S, Engel P, Jacobsen GK, Tos M, Thomsen J. Growth rate of acoustic neuroma expressed by Ki-67 nuclear antigen versus symptom duration. Ann Otol Rhinol Laryngol. 1993 Oct;102(10):805–809. [PubMed]
  • Thomsen J, Tos M. Acoustic neuroma: clinical aspects, audiovestibular assessment, diagnostic delay, and growth rate. Am J Otol. 1990 Jan;11(1):12–19. [PubMed]
  • Bhatia S, Karmarkar S, Taibah A, Russo A, Sanna M. Vestibular schwannoma and the only hearing ear. J Laryngol Otol. 1996 Apr;110(4):366–369. [PubMed]
  • Mazzoni A, Calabrese V, Moschini L. Residual and recurrent acoustic neuroma in hearing preservation procedures: neuroradiologic and surgical findings. Skull Base Surg. 1996;6(2):105–112. [PMC free article] [PubMed]
  • Shao KN, Tatagiba M, Samii M. Surgical management of high jugular bulb in acoustic neurinoma via retrosigmoid approach. Neurosurgery. 1993 Jan;32(1):32–37. [PubMed]
  • Saleh EA, Aristegui M, Taibah AK, Mazzoni A, Sanna M. Management of the high jugular bulb in the translabyrinthine approach. Otolaryngol Head Neck Surg. 1994 Apr;110(4):397–399. [PubMed]
  • Keiper GL, Jr, Sherman JD, Tomsick TA, Tew JM., Jr Dural sinus thrombosis and pseudotumor cerebri: unexpected complications of suboccipital craniotomy and translabyrinthine craniectomy. J Neurosurg. 1999 Aug;91(2):192–197. [PubMed]

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