Abstract
Trigeminal neurinomas, second only to acoustic lesions in incidence among neurinomas, exhibit characteristic clinical, radiographic, and anatomical features the understanding of which is crucial to accurate diagnosis and efficient surgical planning. Compared to other lesions of the region, the surgery of trigeminal neurinomas demands unique consideration. Others have stressed the importance of radical surgery (emphasizing that only total resection leads to ‘cure’), and recurrence rates following partial resection, particularly of cystic tumors, is higher for trigeminal neurinomas than acoustic neurinomas [15].
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References
Arseni C, Dumitrescu L, Constantinescu A (1975) Schwannomas of the trigeminal nerve. Surg Neurol 4: 497–503
Bhatjiwale MG, Nadkarni TD, Desai KI, Goel A (2000) Pathological laughter as a presenting symptom of massive trigeminal neuromas. Report of four cases. Neurosurgery 47: 469–471
Bordi L, Compton J, Symon L (1989) Trigeminal schwannoma. A report of eleven cases. Surg Neurol 31: 272–276
Cantini R, Giorgetti W, Valleriani AM, Burchianti M (1987) Trigeminal schwannomas in adolescence. Pediatr Neurosci 13: 198–201
Cerillo A, Bianco M, Narciso N, Carraturo S, Bucciero A, Cirillo S, Briganti F, De Caro ML (1995) Trigeminal cystic schwannoma in the cavernous sinus. Case report. J Neurosurg Sci 39: 165–170
Daspit CP, Spetzler RF, Pappas CT (1991) Combined approach for lesions involving the cerebellopontine angle and skull base. Experience with 20 cases — preliminary report. Otolaryngol Head Neck Surg 105: 788–796
Day JD, Fukushima T (1998) The surgical management of trigeminal neuromas. Neurosurgery 42: 233–241
Dolenc VV (1994) Frontotemporal epidural approach to trigeminal schwannomas. Acta Neurochir (Wien) 130: 55–65
Findler G, Feinsod M, Sahar A (1983) Trigeminal schwannoma with unusual presentation. Report of a case with trigeminal somatosensory-evoked response. Surg Neurol 19: 351–353
Fisch U (1982) Infratemporal fossa approach for glomus tumors of the temporal bone. Ann Otorhinolaryngol 9: 474–479
Goel A, Muzumdar D, Raman C (2003) Trigeminal neuroma: analysis of surgical experience with 73 cases. Neurosurgery 52: 783–790
Goel A, Gupta S (2000) Reconstruction of skull base. A review of personal techniques. Neurol India 48: 208–215
Goel A, Nadkarni TD (1999) Basal lateral subtemporal approach for trigeminal neurinomas. Report of an experience with 18 cases. Acta Neurochir (Wien) 141: 711–719
Goel A (1998) Impact of arterial displacements on strategy for cavernous sinus surgery. Neurol India 46: 94–101
Goel A (1995) Infratemporal fossa interdural approach for trigeminal schwannomas. Acta Neurochir (Wien) 136: 99–102
Goel A (1994) Vascularlised osteomyoplastic flaps for skull base reconstruction. Br J Neurosurg 8: 79–82
Goel A, Ranade D, Nagpal RD (1994) An unusual trigeminal schwannoma. Br J Neurosurg 8: 369–371
Horie Y, Akagi S, Taguchi K, Yoshino T, Hayashi K, Takahashi K, Akagi T (1990) Malignant schwannoma arising in the intracranial trigeminal nerve. A report of an autopsy case and a review of literature. Acta Pathol Jpn 40: 219–225
Huang CF, Kondziolka D, Flickinger JC, Lunsford LD (1999) Stereotactic radiosurgery for trigeminal schwannomas. Neurosurgery 45: 11–16
Iwai Y, Hakuba A, Noguchi K, Nishimura S (1988) A gigantic neurilemoma originating in the pterygopalatine fossa. A case report. Surg Neurol 30: 452–456
Jefferson G (1955) The trigeminal schwannomas with some remarks on malignant invasion of the gasserain ganglion. Clin Neurosurg 1: 11–54
Karmody CS (1979) Malignant schwannoma of the trigeminal nerve. Otolaryngol Head Neck Surg 87: 594–598
Konovalov AN, Spallone A, Mukhamedjanov DJ, Tcherekajev VA, Makhmudov UB (1996) Trigeminal schwannomas. A series of 111 cases from a single institution. Acta Neurochir (Wien) 138: 1027–1035
Koyye RT, Mahadevan A, Santosh V, Chickabasaviah YT, Govindappa SS, Hegde T, Shankar SK (2003) A rare case of cellular schwannoma involving the trigeminal ganglion. Brain Tumor Pathol 20: 79–83
Lesoin F, Rousseaux M, Villette L, Autricque A, Dhellemmes P, Pellerin P, Vaneecloo JM, Leys D, Jomin M (1986) Schwannomas of the trigeminal nerve. Acta Neurochir (Wien) 82: 118–122
Lunardi P, Missori P, Gagliardi FM, Fraioli B (1989) Trigeminal schwannoma with infratemporal extension. Case report. J Neurosurg Sci 33: 293–295
Martini D, Har-El G, Johnson C (1994) Trigeminal schwannoma. Ann Otol Rhinol Laryngol 103: 652–654
McCormick PC, Bello JA, Post KD (1988) Trigeminal schwannoma. Surgical series of 14 cases with review of literature. J Neurosurg 69: 850–860
Muzumdar DP, Goel A, Pakhmode CK (2002) Multicystic acoustic neurinoma: report of two cases. J Clin Neurosci 9: 453–455
Nadkarni T, Goel A (1999) A trigeminal schwannoma involving the lacrimal nerve. Case report. Br J Neurosurg 13: 75–76
Nager GT (1984) Schwannomas of the trigeminal nerve. Am J Otolaryngol 5: 301–333
Nettel B, Niranjan A, Martin JJ, Koebbe CJ, Kondziolka D, Flickinger JC, Lunsford LD (2004) Gamma knife radiosurgery for trigeminal schwannomas. Surg Neurol 62: 435–444
Page RD, Lye RH (1988) Trigeminal schwannomas. Has the “new technology” made any difference? Br J Neurosurg 2: 67–71
Paillas JE, Grisoli F, Farnarier P (1974) Neurinomes du trijumeau. A propos de 8 cas. Neurochirurgie 20: 41–54
Pollack IF, Sekhar LN, Jannetta PJ, Janecka IP (1989) Neurilemomas of the trigeminal nerve. J Neurosurg 70: 737–745
Post KD, McCormick PC (1990) Trigeminal schwannomas. In: Wilkins RH, Renagchary SS (eds) Neurosurgery update I: diagnosis, operative technique and neuro-oncology. McGraw-Hill, New York, pp 346–353
Samii M, Migliori MM, Tatagiba M, Babu R (1995) Surgical treatment of trigeminal schwannomas. J Neurosurg 82: 711–718
Schisano G, Olivocrona H (1960) Neurinomas of the Gasserian ganglion and trigeminal root. J Neurosurg 17: 306–322
Sepehrnia A, Samii M, Tatagiba M (1991) Management of intracavernous tumours. An 11-year experience. Acta Neurochir (Wien) 53(Suppl): 122–126
Sindou M, Pelissou I (1987) Trigeminal schwannomas. A special type of cavernous sinus tumors. In: Dolenc VV (ed) The cavernous sinus: a multidisciplinary approach to vascular and tumorous lesions. Springer, Wien New York, pp 355–376
Taha JM, Tew JM Jr, van Loveren HR, Keller JT, El-kalliny M (1995) Comparison of conventional and skull base approaches for the excision of trigeminal schwannomas. J Neurosurg 82: 719–725
Wetmore SJ, Suen JY, Snyderman NL (1986) Preauricular approach to infratemporal fossa. Head Neck Surg 9: 93–103
Yamada K, Ohta T, Miyamoto T (1992) Bilateral trigeminal schwannomas associated with von Recklinghausen disease. Am J Neuroradiol 13: 299–300
Yamasaki T, Nagao S, Kagawa T, Takamura M, Moritake K, Tanaka Y, Kida T, Kobayashi T (1996) Therapeutic effectiveness of combined microsurgery and radiosurgery in a patient with a huge trigeminal schwannoma. No To Shinkei 48: 845–850 (in Japanese)
Yamashiro S, Nagahiro S, Mimata C, Kuratsu J, Ushio Y (1994) Malignant schwannoma associated with xeroderma pigmentosum–case report. Neurol Med Chir (Tokyo) 34: 817–820
Yasui T, Hackbut A, Kim SH, Nishimura S (1989) Trigeminal schwannomas. operative approach in eight cases. J Neurosurg 71: 506–511
Yoshida K, Kawase T (1999) Trigeminal schwannomas extending into multiple fossae. surgical methods and review of literature. J Neurosurg 91: 202–211
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Goel, A., Muzumdar, D. (2009). Trigeminal neurinomas: surgical considerations. In: Dolenc, V.V., Rogers, L. (eds) Cavernous Sinus. Springer, Vienna. https://doi.org/10.1007/978-3-211-72138-4_13
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DOI: https://doi.org/10.1007/978-3-211-72138-4_13
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