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The Surgical Management of Trigeminal Schwannomas

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Samii's Essentials in Neurosurgery

Abstract

Schwannomas originating from the cranial nerves are usually benign, isolated, and slow-growing lesions. They are commonly multiple when associated with neurofibromatosis type 2 (NF2). Schwannomas arising from the trigeminal nerves are the second most common intracranial schwannoma. They are rare, representing 0.8–8% of all intracranial schwannomas [3, 21, 27, 33]. Trigeminal schwannomas (TSs) tend to occur in middle age, with highest incidence being between 38 and 40 years, and are more frequent in women [15, 16, 32]. Patients with TSs present more frequently with symptoms related to the function of the trigeminal nerve, but they can also be asymptomatic. In a recent review of the literature, Samii et al. [30] found trigeminal nerve symptoms in 51% of patients, followed by headache (16%) and diplopia (11%). Prior to the advent of computed tomography (CT) and magnetic resonance imaging (MRI) scans, diagnosis of TS was difficult. Treatment of choice is radical surgical resection. In 1918, Frazier [8] reported the first removal of a TS.

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Authors and Affiliations

  1. Neurological Institute of Curitiba,, Pontifical Catholic University of Parana, R. Jeremias Maciel Perretto 300, 80210-310, Curitiba, Brazil

    Ricardo Ramina

  2. Department of Neurosurgery, Neurological Institute of Curitiba, Curitiba, Brazil

    Mauricio Coelho Neto

  3. Department of Neurosurgery, University of Campinas, Campinas, Brazil

    Yvens Barbosa Fernandes & Andre Giacomelli Leal

  4. Postgraduate Course in Surgery, Pontifical Catholic University of Parana, Curitiba, Brazil

    Erasmo Barros da Silva Junior

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  1. Ricardo Ramina
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  4. Andre Giacomelli Leal
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  5. Erasmo Barros da Silva Junior
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© 2008 Springer-Verlag Berlin Heidelberg

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Ramina, R., Neto, M., Fernandes, Y., Leal, A., Silva Junior, E. (2008). The Surgical Management of Trigeminal Schwannomas. In: Samii's Essentials in Neurosurgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-49250-4_16

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  • DOI: https://doi.org/10.1007/978-3-540-49250-4_16

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-49249-8

  • Online ISBN: 978-3-540-49250-4

  • eBook Packages: MedicineMedicine (R0)

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