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Vestibular Schwannoma: Current State of the Art

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Samii's Essentials in Neurosurgery

Abstract

The progress of neurosurgery as a specialty is intrinsically related to the history of treatment for acoustic neuroma (vestibular schwannoma). Dealing with vestibular schwannomas (VS) has developed from almost a death sentence at the beginning of the century to the current concept of “functional microsurgery.” In this interim, several developments regarding imaging modalities and microsurgical techniques, as well as intraoperative neuromonitoring, were responsible for significant reductions in the morbidity of patients suffering from cerebellopontine angle diseases. Herein, we provide an overview of the VS’s state of the art emphasizing aspects such as surgical results, intraoperative monitoring techniques and prediction criteria, the vasoactive treatment, and the current role of radiosurgery from the surgeon’s perspective.

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Authors and Affiliations

  1. Department of Neurosurgery, Eberhard-Karls University Hospital, Tübingen, Germany

    Marcos Tatagiba MD, PhD & Marcus André Acioly MD, PhD

  2. Division of Neurosurgery, Fluminense Federal University, Niterói, Rio de Janeiro, Brazil

    Marcus André Acioly MD, PhD

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  1. Marcos Tatagiba MD, PhD
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  2. Marcus André Acioly MD, PhD
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Correspondence to Marcos Tatagiba MD, PhD .

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Editors and Affiliations

  1. Neurosurgical Department, Neurological Institute of Curitiba (INC), Curitiba, Brazil

    Ricardo Ramina

  2. Neurosurgical Department, Santa Paula Hospital, São Paulo, Brazil

    Paulo Henrique Pires de Aguiar

  3. Dept. of Neurosurgery, Eberhard-Karls University Hospital, Tübingen, Baden-Württemberg, Germany

    Marcos Tatagiba

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Tatagiba, M., Acioly, M.A. (2014). Vestibular Schwannoma: Current State of the Art. In: Ramina, R., de Aguiar, P., Tatagiba, M. (eds) Samii's Essentials in Neurosurgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-54115-5_23

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