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Management of non-vestibular schwannomas in adult patients: a systematic review and consensus statement on behalf of the EANS skull base section Part II: Trigeminal and facial nerve schwannomas (CN V, VII)

  • Original Article - Tumor - Schwannoma
  • Published:
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Abstract

Background

Non-vestibular schwannomas are relatively rare, with trigeminal and jugular foramen schwannomas being the most common. This is a heterogenous group which requires detailed investigation and careful consideration to management strategy. The optimal management for these tumours remains unclear and there are several controversies. The aim of this paper is to provide insight into the main principles defining management and surgical strategy, in order to formulate a series of recommendations.

Methods

A task force was created by the EANS skull base section committee along with its members and other renowned experts in the field to generate recommendations for the surgical management of these tumours on a European perspective. To achieve this, the task force performed an extensive systematic review in this field and had discussions within the group. This article is the second of a three-part series describing non-vestibular schwannomas (V, VII).

Results

A summary of literature evidence was proposed after discussion within the EANS skull base section. The constituted task force dealt with the practice patterns that exist with respect to pre-operative radiological investigations, ophthalmological assessments, optimal surgical and radiotherapy strategies, and follow-up management.

Conclusion

This article represents the consensually derived opinion of the task force with respect to the treatment of trigeminal and facial schwannoma. The aim of treatment is maximal safe resection with preservation of function. Careful thought is required to select the appropriate surgical approach. Most middle fossa trigeminal schwannoma tumours can be safely accessed by a subtemporal extradural middle fossa approach. The treatment of facial nerve schwannoma remains controversial.

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References

  1. Agarwal A (2015) Intracranial trigeminal schwannoma. Neuroradiol J. https://doi.org/10.15274/NRJ-2014-10117

    Article  PubMed  PubMed Central  Google Scholar 

  2. Al-Mefty O, Ayoubi S, Gaber E (2002) Trigeminal schwannomas: removal of dumbbell-shaped tumors through the expanded Meckel cave and outcomes of cranial nerve function. J Neurosurg. https://doi.org/10.3171/jns.2002.96.3.0453

    Article  PubMed  Google Scholar 

  3. Barges-Coll J, Fernandez-Miranda JC, Prevedello DM, Gardner P, Morera V, Madhok R, Carrau RL, Snyderman CH, Rhoton AL, Kassam AB (2010) Avoiding injury to the abducens nerve during expanded endonasal endoscopic surgery: anatomic and clinical case studies. Neurosurgery. https://doi.org/10.1227/01.NEU.0000370892.11284.EA

    Article  PubMed  Google Scholar 

  4. Bartels LJ, Arrington JR (2005) Rare tumors of the cerebellopontine angle. Neurotology. https://doi.org/10.1016/B978-0-323-01830-2.50055-9

    Article  Google Scholar 

  5. Bartindale M, Heiferman J, Joyce C, Anderson D, Leonetti J (2020) Facial schwannoma management outcomes: a systematic review of the literature. Otolaryngol - Head Neck Surg (United States). https://doi.org/10.1177/0194599820913639

    Article  Google Scholar 

  6. Bartindale M, Heiferman J, Joyce C, Balasubramanian N, Anderson D, Leonetti J (2019) The natural history of facial schwannomas: a meta-analysis of case series. J Neurol Surgery, Part B Skull Base. https://doi.org/10.1055/s-0038-1675590

    Article  Google Scholar 

  7. Bhaskar IP, Chacko AG, Daniel RT (2008) Brainstem compression from a trigeminal schwannoma presenting with pathological crying. J Clin Neurosci. https://doi.org/10.1016/j.jocn.2006.06.022

    Article  PubMed  Google Scholar 

  8. Cavallo LM, Cappabianca P, Galzio R, Iaconetta G, de Divitiis E, Tschabitscher M (2005) Endoscopic transnasal approach to the cavernous sinus versus transcranial route: anatomic study. Oper Neurosurg 56(suppl_4):ONS-379-ONS-389

    Article  Google Scholar 

  9. Chen L-F, Yang Y, Yu X-G, Gui Q-P, Bu B, Xu B-N, Zhou D-B (2014) Operative management of trigeminal neuromas: an analysis of a surgical experience with 55 cases. Acta Neurochirurgica 156(6):1105–1114. https://doi.org/10.1007/s00701-014-2051-7

  10. Cornelius JF, Sauvaget E, Tran Ba Huy P, George B (2008) Surgical treatment of facial nerve schwannomas. Mod. Manag. Acoust. Neuroma. KARGER, Basel, pp 119–130

  11. Dallan I, Castelnuovo P, Locatelli D, Turri-Zanoni M, Alqahtani A, Battaglia P, Hirt B, Sellari-Franceschini S (2015) Multiportal combined transorbital transnasal endoscopic approach for the management of selected skull base lesions: preliminary experience. World Neurosurg. https://doi.org/10.1016/j.wneu.2015.02.034

    Article  PubMed  Google Scholar 

  12. Dallan I, Locatelli D, Turri-Zanoni M, Battaglia P, Lepera D, Galante N, Sellari-Franceschini S, Castelnuovo P (2015) Transorbital endoscopic assisted resection of a superior orbital fissure cavernous haemangioma: a technical case report. Eur Arch Oto-Rhino-Laryngology. https://doi.org/10.1007/s00405-015-3556-2

    Article  Google Scholar 

  13. Dolenc VV (1994) Frontotemporal epidural approach to trigeminal neurinomas. Acta Neurochir (Wien). https://doi.org/10.1007/BF01405503

    Article  Google Scholar 

  14. Dort JC, Fisch U (1991) Facial nerve schwannomas. Skull Base. https://doi.org/10.1055/s-2008-1056979

    Article  Google Scholar 

  15. Eshraghi AA, Oker N, Ocak E, Verillaud B, Babcock T, Camous D, Kravietz A, Morcos J, Herman P, Kania R (2019) Management of facial nerve schwannoma: a multicenter study of 50 cases. J Neurol Surgery, Part B Skull Base. https://doi.org/10.1055/s-0038-1670687

    Article  Google Scholar 

  16. Fukaya R, Yoshida K, Ohira T, Kawase T (2011) Trigeminal schwannomas: experience with 57 cases and a review of the literature. Neurosurg Rev. https://doi.org/10.1007/s10143-010-0289-y

    Article  Google Scholar 

  17. Furukawa T, Fabbris C, Ito T, Hiraka T, Goto T, Kubota T, Matsui H, Ohe R, Kanoto M, Kakehata S (2020) Facial nerve and chorda tympani schwannomas: case series, and advantages of using non-rigid registration of post-enhanced 3D–T1 Turbo Field Echo and CT images (TURFECT) in their diagnosis and surgical treatment. Auris Nasus Larynx. https://doi.org/10.1016/j.anl.2019.12.006

    Article  PubMed  PubMed Central  Google Scholar 

  18. Gerganov VM, Giordano M, Samii M, Samii A (2011) Diffusion tensor imaging-based fiber tracking for prediction of the position of the facial nerve in relation to large vestibular schwannomas: clinical article. J Neurosurg. https://doi.org/10.3171/2011.7.JNS11495

    Article  PubMed  Google Scholar 

  19. Ginsberg LE, DeMonte F (1999) Case 16: Facial nerve schwannoma with middle cranial fossa involvement. Radiology. https://doi.org/10.1148/radiology.213.2.r99nv47364

    Article  PubMed  Google Scholar 

  20. Goel A, Muzumdar D, Raman C, Post KD, Day JD, Konovalov AN (2003) Trigeminal neuroma: analysis of surgical experience with 73 cases. Neurosurgery. https://doi.org/10.1227/01.NEU.0000053365.05795.03

    Article  PubMed  Google Scholar 

  21. Goel A, Ranjan S, Shah A, Rai S, Gore S, Dharurkar P (2018) Subtemporal “interdural” surgical approach for “giant” facial nerve neurinomas. World Neurosurg. https://doi.org/10.1016/j.wneu.2017.11.127

    Article  PubMed  Google Scholar 

  22. Hakuba A, Liu S, Shuro N (1986) The orbitozygomatic infratemporal approach: a new surgical technique. Surg Neurol 26(3):271–276

    Article  CAS  Google Scholar 

  23. Hakuba A, Tanaka K, Suzuki T, Nishimura S (1989) A combined orbitozygomatic infratemporal epidural and subdural approach for lesions involving the entire cavernous sinus. J Neurosurg 71(5):699–704

    Article  CAS  Google Scholar 

  24. Hasegawa T, Kato T, Kida Y et al (2016) Gamma Knife surgery for patients with facial nerve schwannomas: a multiinstitutional retrospective study in Japan. J Neurosurg. https://doi.org/10.3171/2015.3.JNS142677

    Article  PubMed  Google Scholar 

  25. Helm MR (2004) Trigeminal schwannoma presenting as daily migraine headache. Headache. https://doi.org/10.1111/j.1526-4610.2004.04176.x

    Article  PubMed  Google Scholar 

  26. Ichimura S, Yoshida K, Sutiono AB, Horiguchi T, Sasaki H, Kawase T (2010) Greater petrosal nerve schwannomas-analysis of four cases and review of the literature. Neurosurg Rev. https://doi.org/10.1007/s10143-010-0277-2

    Article  PubMed  Google Scholar 

  27. J.P. S, H. K, Z. X, et al. (2015) Gamma Knife radiosurgery for facial nerve schwannomas: a multicenter study. J. Neurosurg.

  28. Jacquesson T, Cotton F, Attyé A, Zaouche S, Tringali S, Bosc J, Robinson P, Jouanneau E, Frindel C (2019) Probabilistic tractography to predict the position of cranial nerves displaced by skull base tumors: value for surgical strategy through a case series of 62 patients. Neurosurgery 85(1):E125–E136

    Article  Google Scholar 

  29. Jacquesson T, Yeh F-C, Panesar S, Barrios J, Attyé A, Frindel C, Cotton F, Gardner P, Jouanneau E, Fernandez-Miranda JC (2020) Full tractography for detecting the position of cranial nerves in preoperative planning for skull base surgery: technical note. J Neurosurg 132(5):1642–1652

    Article  Google Scholar 

  30. Jagetia A, Pratap Kumar N, Singh D, Sinha S (2006) Pathological laughter in trigeminal schwannoma: case report and review of the literature. Neurosurg Rev. https://doi.org/10.1007/s10143-006-0038-4

    Article  PubMed  Google Scholar 

  31. JEFFERSON G, (1953) The trigeminal neurinomas with some remarks on malignant invasion of the gasserian ganglion. Clin Neurosurg. https://doi.org/10.1093/neurosurgery/1.cn_suppl_1.11

    Article  Google Scholar 

  32. Jeong SK, Lee EJ, Hue YH, Cho YH, Kim JH, Kim CJ (2014) A suggestion of modified classification of trigeminal schwannomas according to location, shape, and extension. Brain Tumor Res Treat. https://doi.org/10.14791/btrt.2014.2.2.62

    Article  PubMed  PubMed Central  Google Scholar 

  33. Ji HP, Sun HP, Chung HT, Sang SJ, Park CK, Jung HW, Dong GK (2007) Gamma Knife surgery and trigeminal schwannoma: is it possible to preserve cranial nerve function? J Neurosurg. https://doi.org/10.3171/JNS-07/10/0727

    Article  Google Scholar 

  34. Joshi R (2012) Learning from eponyms: Jose Verocay and Verocay bodies, Antoni A and B areas, Nils Antoni and Schwannomas. Indian Dermatol Online J. https://doi.org/10.4103/2229-5178.101826

  35. Jouanneau E, Simon E, Jacquesson T, Sindou M, Tringali S, Messerer M, Berhouma M (2014) The endoscopic endonasal approach to the Meckel’s cave tumors: surgical technique and indications. World Neurosurg 82(6):S155–S161

    Article  Google Scholar 

  36. Kassam AB, Prevedello DM, Carrau RL, Snyderman CH, Gardner P, Osawa S, Seker A, Rhoton AL (2009) The front door to Meckel’s cave: an anteromedial corridor via expanded endoscopic endonasal approach-technical considerations and clinical series. Neurosurgery. https://doi.org/10.1227/01.NEU.0000335162.36862.54

    Article  PubMed  Google Scholar 

  37. Kida Y, Yoshimoto M, Hasegawa T (2007) Radiosurgery for facial schwannoma. J Neurosurg. https://doi.org/10.3171/jns.2007.106.1.24

    Article  PubMed  Google Scholar 

  38. Konovalov AN, Spallone A, Mukhamedjanov DJ, Tcherekajev VA, Makhmudov UB (1996) Trigeminal neurinomas. A series of 111 surgical cases from a single institution. Acta Neurochir (Wien). doi: https://doi.org/10.1007/BF01412304

  39. Kumaria A, Ingale HA, Robertson IJA, Ashpole RD (2018) Trigeminal schwannoma presenting as a gelastic seizure: no laughing matter. Br J Neurosurg. https://doi.org/10.1080/02688697.2018.1466999

    Article  PubMed  Google Scholar 

  40. Kusumi M, Oka H, Aliabadi H, Sato S, Kumabe T (2016) The appropriate surgical approach to a greater petrosal nerve schwannoma in the setting of temporal lobe edema. World Neurosurg. https://doi.org/10.1016/j.wneu.2015.08.048

    Article  PubMed  Google Scholar 

  41. Lahlou G, Tankere F, Bernardeschi D, Nguyen Y, Lamas G, Sterkers O (2020) Evolution of the management of sporadic facial nerve schwannomas: a series of 83 cases over three decades. Clin Otolaryngol. https://doi.org/10.1111/coa.13529

    Article  PubMed  Google Scholar 

  42. Lassaletta L, Roda JM, Frutos R, Patrón M, Gavilán J (2002) Facial nerve schwannoma of the cerebellopontine angle: a diagnostic challenge. Skull Base. https://doi.org/10.1055/s-2002-35752-1

    Article  PubMed  PubMed Central  Google Scholar 

  43. Liberati A, Altman DG, Tetzlaff J, Mulrow C, Gøtzsche PC, Ioannidis JPA, Clarke M, Devereaux PJ, Kleijnen J, Moher D (2009) The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate healthcare interventions: explanation and elaboration. BMJ. https://doi.org/10.1136/bmj.b2700

    Article  PubMed  PubMed Central  Google Scholar 

  44. Litre CF, Gourg GP, Tamura M, Mdarhri D, Touzani A, Roche PH, Régis J (2007) Gamma knife surgery for facial nerve schwannomas. Neurosurgery. https://doi.org/10.1227/01.NEU.0000249282.46514.DA

    Article  PubMed  Google Scholar 

  45. Liu R, Fagan P (2001) Facial nerve schwannoma: surgical excision versus conservative management. Ann Otol Rhinol Laryngol. https://doi.org/10.1177/000348940111001106

    Article  PubMed  Google Scholar 

  46. Machado AG, Aguiar PH, Marino R (2002) Pathological laughter in a patient with trigeminal neurinoma. Arq Neuropsiquiatr. https://doi.org/10.1590/S0004-282X2002000600021

    Article  PubMed  Google Scholar 

  47. Madhok R, Kondziolka D, Flickinger JC, Lunsford LD (2009) Gamma knife radiosurgery for facial schwannomas. Neurosurgery. https://doi.org/10.1227/01.NEU.0000343743.20297.FB

    Article  PubMed  Google Scholar 

  48. Makarenko S, Ye V, Akagami R (2018) Natural history, multimodal management, and quality of life outcomes of trigeminal schwannomas. J Neurol Surgery, Part B Skull Base. https://doi.org/10.1055/s-0038-1651503

    Article  Google Scholar 

  49. Masson C, Lehericy S, Guillaume B, Masson M (1995) Cluster-like headache in a patient with a trigeminal neurinoma. Headache J Head Face Pain. https://doi.org/10.1111/j.1526-4610.1995.hed3501048.x

    Article  Google Scholar 

  50. McRackan TR, Wilkinson EP, Rivas A (2015) Primary tumors of the facial nerve. Otolaryngol Clin North Am. https://doi.org/10.1016/j.otc.2015.02.008

    Article  PubMed  Google Scholar 

  51. Mehta GU, Lekovic GP, Slattery WH et al (2020) Effect of anatomic segment involvement on stereotactic radiosurgery for facial nerve schwannomas: an international multicenter cohort study. Neurosurgery. https://doi.org/10.1093/neuros/nyaa313

    Article  PubMed  Google Scholar 

  52. Messerer M, Dubourg J, Saint-Pierre G, Jouanneau E, Sindou M (2012) Percutaneous biopsy of lesions in the cavernous sinus region through the foramen ovale: diagnostic accuracy and limits in 50 patients. J Neurosurg 116(2):390–398

    Article  Google Scholar 

  53. Minovi A, Vosschulte R, Hofmann E, Draf W, Bockmühl U (2004) Facial nerve neuroma: surgical concept and functional results. Skull Base. https://doi.org/10.1055/s-2004-860948

    Article  PubMed  PubMed Central  Google Scholar 

  54. Moon JH, Chang WS, Jung HH, Lee KS, Park YG, Chang JH (2014) Gamma Knife surgery for facial nerve schwannomas: clinical article. J Neurosurg. https://doi.org/10.3171/2014.8.GKS141504

    Article  PubMed  Google Scholar 

  55. Mundada P, Purohit BS, Kumar TS, Tan TY (2016) Imaging of facial nerve schwannomas: diagnostic pearls and potential pitfalls. Diagnostic Interv Radiol. https://doi.org/10.5152/dir.2015.15060

    Article  Google Scholar 

  56. Nadkarni TD, Goel A (1999) Trochlear nerve neurinoma presenting as pathological laughter. Br J Neurosurg. https://doi.org/10.1080/02688699944023

    Article  PubMed  Google Scholar 

  57. Niranjan A, Barnett S, Anand V, Agazzi S (2016) Multimodality management of trigeminal schwannomas. J Neurol Surg Part B Skull Base 77(04):371–378

    Article  Google Scholar 

  58. Oxman AD (2004) Grading quality of evidence and strength of recommendations. Br Med J. https://doi.org/10.1136/bmj.328.7454.1490

    Article  Google Scholar 

  59. Park HH, Hong SD, Kim YH, Hong CK, Woo KI, Yun IS, Kong DS (2020) Endoscopic transorbital and endonasal approach for trigeminal schwannomas: a retrospective multicenter analysis (KOSEN-005. J Neurosurg. https://doi.org/10.3171/2019.3.JNS19492

    Article  PubMed  PubMed Central  Google Scholar 

  60. Peciu-Florianu I, Régis J, Levivier M, Dedeciusova M, Reyns N, Tuleasca C (2020) Tumor control and trigeminal dysfunction improvement after stereotactic radiosurgery for trigeminal schwannomas: a systematic review and meta-analysis. Neurosurg Rev. https://doi.org/10.1007/s10143-020-01433-w

    Article  PubMed  PubMed Central  Google Scholar 

  61. Ramina R, Mattei TA, Sória MG, da Silva EB, Leal AG, Neto MC, Fernandes YB (2008) Surgical management of trigeminal schwannomas. Neurosurg Focus. https://doi.org/10.3171/FOC.2008.25.12.E6

    Article  PubMed  Google Scholar 

  62. Raza SM, Donaldson AM, Mehta A, Tsiouris AJ, Anand VK, Schwartz TH (2014) Surgical management of trigeminal schwannomas: defining the role for endoscopic endonasal approaches. Neurosurg Focus. https://doi.org/10.3171/2014.7.FOCUS14341

    Article  PubMed  Google Scholar 

  63. Roundy N, Delashaw JB, Cetas JS (2012) Preoperative identification of the facial nerve in patients with large cerebellopontine angle tumors using high-density diffusion tensor imaging: clinical article. J Neurosurg. https://doi.org/10.3171/2011.12.JNS111404

    Article  PubMed  Google Scholar 

  64. Ryu J, Lee SH, Choi SK, Lim YJ (2018) Gamma knife radiosurgery for trigeminal schwannoma: a 20-year experience with long-term treatment outcome. J Neurooncol. https://doi.org/10.1007/s11060-018-2934-1

    Article  PubMed  Google Scholar 

  65. Sakamoto GT, Borcher DJ, Xiao F, Yang HJ, Chang SD, Adler JR (2009) CyberKnife radiosurgery for trigeminal schwannomas. Neurosurgery. https://doi.org/10.1227/01.NEU.0000341629.57676.DB

    Article  PubMed  Google Scholar 

  66. Salzman KL, Davidson HC, Harnsberger HR, Glastonbury CM, Wiggins RH, Ellul S, Shelton C (2001) Dumbbell schwannomas of the internal auditory canal. Am. J. Neuroradiol.

  67. Samii M, Alimohamadi M, Gerganov V (2014) Endoscope-assisted retrosigmoid intradural suprameatal approach for surgical treatment of trigeminal schwannomas. Oper Neurosurg. https://doi.org/10.1227/NEU.0000000000000478

    Article  Google Scholar 

  68. Samii M, Migliori MM, Tatagiba M, Babu R (1995) Surgical treatment of trigeminal schwannomas. J Neurosurg. https://doi.org/10.3171/jns.1995.82.5.0711

    Article  PubMed  Google Scholar 

  69. Samii M, Tatagiba M, Carvalho GA (2000) Retrosigmoid intradural suprameatal approach to Meckel’s cave and the middle fossa: surgical technique and outcome. J Neurosurg. https://doi.org/10.3171/jns.2000.92.2.0235

    Article  PubMed  Google Scholar 

  70. Sarma S, Sekhar LN, Schessel DA, Malis LI, Day JD (2002) Nonvestibular schwannomas of the brain: a 7-year experience. Neurosurgery. https://doi.org/10.1097/00006123-200203000-00002

    Article  PubMed  Google Scholar 

  71. Sataloff RT, Frattali MA, Myers DL (1995) Intracranial facial neuromas: total tumor removal with facial nerve preservation: a new surgical technique. Ear, Nose Throat J. https://doi.org/10.1177/014556139507400412

    Article  Google Scholar 

  72. Sato M, Kanai N, Fukushima Y, Matsumoto S, Tatsumi C, Kitamura K, Ozaki M, Hayakawa T (1996) Hypoglossal neurinoma extending intra- and extracranially: case report. Surg Neurol. https://doi.org/10.1016/S0090-3019(96)80012-7

    Article  PubMed  Google Scholar 

  73. Shi W, Jain V, Kim H et al (2015) Fractionated stereotactic radiotherapy for facial nerve schwannomas. J Neurol Surgery, Part B Skull Base. https://doi.org/10.1055/s-0035-1564056

    Article  Google Scholar 

  74. Shin SS, Gardner PA, Stefko ST, Madhok R, Fernandez-Miranda JC, Snyderman CH (2011) Endoscopic endonasal approach for nonvestibular schwannomas. Neurosurgery. https://doi.org/10.1227/NEU.0b013e3182287bb9

    Article  PubMed  Google Scholar 

  75. Snyder MH, Shepard MJ, Chen CJ, Sheehan JP (2018) Stereotactic radiosurgery for trigeminal schwannomas: a 28-year single-center experience and review of the literature. World Neurosurg. https://doi.org/10.1016/j.wneu.2018.07.289

    Article  PubMed  Google Scholar 

  76. Srinivas D, Somanna S, Ashwathnarayana C, Bhagavatula I (2011) Multicompartmental Trigeminal Schwannomas: Management Strategies and Outcome. Skull Base 21(06):351–358. https://doi.org/10.1055/s-0031-1287683

    Article  PubMed  PubMed Central  Google Scholar 

  77. Sun Y, Xing B, Han S, Li T, Guo Z, Wang D, Tao R (2015) Stripping surgery in facial nerve schwannomas with favorable facial nerve function. Am J Otolaryngol - Head Neck Med Surg. https://doi.org/10.1016/j.amjoto.2015.03.003

    Article  Google Scholar 

  78. Symon L, Cheesman AD, Kawauchi M, Bordi L (1993) Neuromas of the facial nerve: a report of 12 cases. Br J Neurosurg. https://doi.org/10.3109/02688699308995051

    Article  PubMed  Google Scholar 

  79. Taha JM, Tew JM, Van Loveren HR, Keller JT, El-Kalliny M (1995) Comparison of conventional and skull base surgical approaches for the excision of trigeminal neurinomas. J Neurosurg. https://doi.org/10.3171/jns.1995.82.5.0719

    Article  PubMed  Google Scholar 

  80. Verocay J (1910) Zur Kenntnis der ‘Neuro brome’. Beitr Pathol Anat Allg Pathol 1‐69

  81. Wanibuchi M, Fukushima T, Zomordi AR, Nonaka Y, Friedman AH (2012) Trigeminal schwannomas: skull base approaches and operative results in 105 patients. Neurosurgery. https://doi.org/10.1227/neu.0b013e31822efb21

    Article  PubMed  Google Scholar 

  82. Wei PH, Qi ZG, Chen G, Li MC, Liang JT, Guo HC, Bao YH, Hao Q (2016) Identification of cranial nerves around trigeminal schwannomas using diffusion tensor tractography: a technical note and report of 3 cases. Acta Neurochir (Wien). https://doi.org/10.1007/s00701-015-2680-5

    Article  Google Scholar 

  83. Wiggins RH, Harnsberger HR, Salzman KL, Shelton C, Kertesz TR, Glastonbury CM (2006) The many faces of facial nerve schwannoma. Am J Neuroradiol

  84. Wu X, Xie SH, Tang B, Yang L, Xiao LM, Ding H, Bao YY, Tong ZG, Hong T (2020) Single-stage endoscopic endonasal approach for the complete removal of trigeminal schwannomas occupying both the middle and posterior fossae. Neurosurg Rev. https://doi.org/10.1007/s10143-020-01266-7

    Article  PubMed  PubMed Central  Google Scholar 

  85. Xu F, Pan S, Bambakidis NC (2017) Intracranial facial nerve schwannomas: current management and review of literature. World Neurosurg. https://doi.org/10.1016/j.wneu.2016.09.082

    Article  PubMed  Google Scholar 

  86. Yang SH, Park HK, Yoo DS, Joo W, Rhoton A (2021) Microsurgical anatomy of the facial nerve. Clin Anat. https://doi.org/10.1002/ca.23652

    Article  PubMed  Google Scholar 

  87. Yang W, Zhao J, Han Y, Yang H, Xing J, Zhang Y, Wang Y, Liu H (2015) Long-term outcomes of facial nerve schwannomas with favorable facial nerve function: tumor growth rate is correlated with initial tumor size. Am J Otolaryngol - Head Neck Med Surg. https://doi.org/10.1016/j.amjoto.2014.10.019

    Article  Google Scholar 

  88. Yasui T, Hakuba A, Kim SH, Nishimura S (1989) Trigeminal neurinomas: operative approach in eight cases. J Neurosurg 71(4):506–511

    Article  CAS  Google Scholar 

  89. Yoshida K, Kawase T (1999) Trigeminal neurinomas extending into multiple fossae: surgical methods and review of the literature. J Neurosurg. https://doi.org/10.3171/jns.1999.91.2.0202

    Article  PubMed  Google Scholar 

  90. Zhang Q, Feng K, Ge C, Hongchuan G, Mingchu L (2012) Endoscopic endonasal management of trigeminal schwannomas extending into the infratemporal fossa. J Clin Neurosci. https://doi.org/10.1016/j.jocn.2011.09.023

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Neurosurgery, Barts Health NHS Trust, St. Bartholomew’s and The Royal London Hospital, London, UK

    Jarnail Bal & Dimitrios Paraskevopoulos

  2. Department of Neurosurgery, Vrije Universiteit Brussel (VUB), Universitair Ziekenhuis Brussel (UZ Brussel), Laarbeeklaan 101, 1090, Brussels, Belgium

    Michael Bruneau

  3. Neuro-Oncologic and Vascular Department, Hôpital Neurologique Pierre Wertheimer, Lyon, France

    Moncef Berhouma

  4. Department of Neurosurgery, Medical Faculty, Heinrich-Heine-University Düsseldorf, Düsseldorf, Germany

    Jan F. Cornelius

  5. Department of Neurosurgery, University Hospital of Naples Federico II, Napoli, Italy

    Luigi M. Cavallo

  6. Department of Neurosurgery, Lausanne University Hospital and University of Lausanne, 42 rue du Bugnon, 1011, Lausanne, Switzerland

    Roy T. Daniel & Mahmoud Messerer

  7. Department of Neurosurgery, Lariboisière Hospital, Paris, France

    Sebastien Froelich

  8. Department of Neurosurgery, Hôpital Neurologique Pierre Wertheimer, Lyon, France

    Emmanuel Jouanneau

  9. Department of Neurosurgery, University Hospital of Geneva, Geneva, Switzerland

    Torstein R. Meling

  10. Neurosurgery Department, APHM, Hopital Nord, Marseille, France

    Pierre-Hugues Roche

  11. Department of Neurosurgery, University Medicine Greifswald, Greifswald, Germany

    Henry W. S. Schroeder

  12. Department of Neurosurgery, Eberhard Karls University of Tübingen, Tübingen, Germany

    Marcos Tatagiba

  13. Department of Neurosurgery, Complejo Hospitalario de Navarra, Pamplona, Spain

    Idoya Zazpe

Authors
  1. Jarnail Bal
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  2. Michael Bruneau
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  3. Moncef Berhouma
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  4. Jan F. Cornelius
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  5. Luigi M. Cavallo
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  6. Roy T. Daniel
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  7. Sebastien Froelich
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  8. Emmanuel Jouanneau
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  9. Torstein R. Meling
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  10. Mahmoud Messerer
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  11. Pierre-Hugues Roche
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  12. Henry W. S. Schroeder
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  13. Marcos Tatagiba
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  14. Idoya Zazpe
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  15. Dimitrios Paraskevopoulos
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Corresponding author

Correspondence to Dimitrios Paraskevopoulos.

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Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the local Ethical Committee (Geneva Ethics Committee Board no. 11-233R, NAC 11-085R) and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

For this retrospective type of study, formal consent is not required.

Conflict of interest

The authors declare no competing interests.

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This article is part of the Topical Collection on Tumor—Schwannoma

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Bal, J., Bruneau, M., Berhouma, M. et al. Management of non-vestibular schwannomas in adult patients: a systematic review and consensus statement on behalf of the EANS skull base section Part II: Trigeminal and facial nerve schwannomas (CN V, VII). Acta Neurochir 164, 299–319 (2022). https://doi.org/10.1007/s00701-021-05092-8

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  • DOI: https://doi.org/10.1007/s00701-021-05092-8

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