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Trigeminal neurinomas: surgical considerations

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Cavernous Sinus
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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

  1. Arseni C, Dumitrescu L, Constantinescu A (1975) Schwannomas of the trigeminal nerve. Surg Neurol 4: 497–503

    PubMed  CAS  Google Scholar 

  2. 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

    Article  PubMed  CAS  Google Scholar 

  3. Bordi L, Compton J, Symon L (1989) Trigeminal schwannoma. A report of eleven cases. Surg Neurol 31: 272–276

    Article  PubMed  CAS  Google Scholar 

  4. Cantini R, Giorgetti W, Valleriani AM, Burchianti M (1987) Trigeminal schwannomas in adolescence. Pediatr Neurosci 13: 198–201

    Article  PubMed  CAS  Google Scholar 

  5. 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

    PubMed  CAS  Google Scholar 

  6. 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

    PubMed  CAS  Google Scholar 

  7. Day JD, Fukushima T (1998) The surgical management of trigeminal neuromas. Neurosurgery 42: 233–241

    Article  PubMed  CAS  Google Scholar 

  8. Dolenc VV (1994) Frontotemporal epidural approach to trigeminal schwannomas. Acta Neurochir (Wien) 130: 55–65

    Article  CAS  Google Scholar 

  9. 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

    Article  PubMed  CAS  Google Scholar 

  10. Fisch U (1982) Infratemporal fossa approach for glomus tumors of the temporal bone. Ann Otorhinolaryngol 9: 474–479

    Google Scholar 

  11. Goel A, Muzumdar D, Raman C (2003) Trigeminal neuroma: analysis of surgical experience with 73 cases. Neurosurgery 52: 783–790

    Article  PubMed  Google Scholar 

  12. Goel A, Gupta S (2000) Reconstruction of skull base. A review of personal techniques. Neurol India 48: 208–215

    PubMed  CAS  Google Scholar 

  13. 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

    Article  CAS  Google Scholar 

  14. Goel A (1998) Impact of arterial displacements on strategy for cavernous sinus surgery. Neurol India 46: 94–101

    Google Scholar 

  15. Goel A (1995) Infratemporal fossa interdural approach for trigeminal schwannomas. Acta Neurochir (Wien) 136: 99–102

    Article  CAS  Google Scholar 

  16. Goel A (1994) Vascularlised osteomyoplastic flaps for skull base reconstruction. Br J Neurosurg 8: 79–82

    Article  PubMed  CAS  Google Scholar 

  17. Goel A, Ranade D, Nagpal RD (1994) An unusual trigeminal schwannoma. Br J Neurosurg 8: 369–371

    Article  PubMed  CAS  Google Scholar 

  18. 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

    PubMed  CAS  Google Scholar 

  19. Huang CF, Kondziolka D, Flickinger JC, Lunsford LD (1999) Stereotactic radiosurgery for trigeminal schwannomas. Neurosurgery 45: 11–16

    Article  PubMed  CAS  Google Scholar 

  20. 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

    Article  PubMed  CAS  Google Scholar 

  21. Jefferson G (1955) The trigeminal schwannomas with some remarks on malignant invasion of the gasserain ganglion. Clin Neurosurg 1: 11–54

    Google Scholar 

  22. Karmody CS (1979) Malignant schwannoma of the trigeminal nerve. Otolaryngol Head Neck Surg 87: 594–598

    PubMed  CAS  Google Scholar 

  23. 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

    Article  CAS  Google Scholar 

  24. 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

    Article  PubMed  Google Scholar 

  25. 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

    Article  CAS  Google Scholar 

  26. Lunardi P, Missori P, Gagliardi FM, Fraioli B (1989) Trigeminal schwannoma with infratemporal extension. Case report. J Neurosurg Sci 33: 293–295

    PubMed  CAS  Google Scholar 

  27. Martini D, Har-El G, Johnson C (1994) Trigeminal schwannoma. Ann Otol Rhinol Laryngol 103: 652–654

    PubMed  CAS  Google Scholar 

  28. McCormick PC, Bello JA, Post KD (1988) Trigeminal schwannoma. Surgical series of 14 cases with review of literature. J Neurosurg 69: 850–860

    Article  PubMed  CAS  Google Scholar 

  29. Muzumdar DP, Goel A, Pakhmode CK (2002) Multicystic acoustic neurinoma: report of two cases. J Clin Neurosci 9: 453–455

    Article  PubMed  CAS  Google Scholar 

  30. Nadkarni T, Goel A (1999) A trigeminal schwannoma involving the lacrimal nerve. Case report. Br J Neurosurg 13: 75–76

    Article  PubMed  CAS  Google Scholar 

  31. Nager GT (1984) Schwannomas of the trigeminal nerve. Am J Otolaryngol 5: 301–333

    Article  PubMed  CAS  Google Scholar 

  32. 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

    Article  PubMed  Google Scholar 

  33. Page RD, Lye RH (1988) Trigeminal schwannomas. Has the “new technology” made any difference? Br J Neurosurg 2: 67–71

    Article  PubMed  CAS  Google Scholar 

  34. Paillas JE, Grisoli F, Farnarier P (1974) Neurinomes du trijumeau. A propos de 8 cas. Neurochirurgie 20: 41–54

    PubMed  CAS  Google Scholar 

  35. Pollack IF, Sekhar LN, Jannetta PJ, Janecka IP (1989) Neurilemomas of the trigeminal nerve. J Neurosurg 70: 737–745

    Article  PubMed  CAS  Google Scholar 

  36. 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

    Google Scholar 

  37. Samii M, Migliori MM, Tatagiba M, Babu R (1995) Surgical treatment of trigeminal schwannomas. J Neurosurg 82: 711–718

    Article  PubMed  CAS  Google Scholar 

  38. Schisano G, Olivocrona H (1960) Neurinomas of the Gasserian ganglion and trigeminal root. J Neurosurg 17: 306–322

    Article  PubMed  CAS  Google Scholar 

  39. Sepehrnia A, Samii M, Tatagiba M (1991) Management of intracavernous tumours. An 11-year experience. Acta Neurochir (Wien) 53(Suppl): 122–126

    CAS  Google Scholar 

  40. 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

    Google Scholar 

  41. 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

    Article  PubMed  CAS  Google Scholar 

  42. Wetmore SJ, Suen JY, Snyderman NL (1986) Preauricular approach to infratemporal fossa. Head Neck Surg 9: 93–103

    Article  PubMed  CAS  Google Scholar 

  43. Yamada K, Ohta T, Miyamoto T (1992) Bilateral trigeminal schwannomas associated with von Recklinghausen disease. Am J Neuroradiol 13: 299–300

    PubMed  CAS  Google Scholar 

  44. 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)

    PubMed  CAS  Google Scholar 

  45. 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

    Article  CAS  Google Scholar 

  46. Yasui T, Hackbut A, Kim SH, Nishimura S (1989) Trigeminal schwannomas. operative approach in eight cases. J Neurosurg 71: 506–511

    Article  PubMed  CAS  Google Scholar 

  47. Yoshida K, Kawase T (1999) Trigeminal schwannomas extending into multiple fossae. surgical methods and review of literature. J Neurosurg 91: 202–211

    Article  PubMed  CAS  Google Scholar 

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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

  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-211-72137-7

  • Online ISBN: 978-3-211-72138-4

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