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Microsurgical resection of a right dumbbell-shaped jugular foramen schwannoma through a modified retrosigmoid infra-jugular approach: how I do it

  • How I Do it - Tumor - Schwannoma
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Abstract

Background

Surgical treatment of dumbbell jugular foramen schwannomas can be challenging. The main goals of surgery are maximal resection with preservation of function and overall patient quality of life.

Methods

In this paper, we present a step-by-step technical description of a microsurgical resection of dumbbell-shaped JF schwannoma using a modified retrosigmoid infra-jugular approach.

Conclusion

The modified retrosigmoid infra-jugular is a safe and suitable approach in selected cases. This technique, however, must be limited only to those tumors with minimal extension into the jugular foramen.

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Abbreviations

BAEPs :

Brainstem auditory evoked potentials

CSF :

Cerebrospinal fluid

CN :

Cranial nerve

CT :

Computed tomography

ELITE :

Extreme lateral infra-jugular trans-condylar exposure

EMG :

Electromyography

IJ :

Infra-jugular

JF :

Jugular foramen

JP :

Jugular process

JT :

Jugular tubercle

MEP :

Motor evoked potentials

MRI :

Magnetic resonance imaging

OC :

Occipital condyle

SSEP :

Somatosensory evoked potentials

SRS :

Stereotactic radiosurgery

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Author information

Authors and Affiliations

  1. Department of Biomedical Sciences, Humanitas University, Via Rita Levi Montalcini 4, 20090, Pieve Emanuele, Milan, Italy

    Beatrice Claudia Bono, Marco Riva & Federico Pessina

  2. Neurosurgery Department, IRCCS Humanitas Research Hospital, Via Manzoni 56, 20089, Rozzano, Milan, Italy

    Beatrice Claudia Bono, Zefferino Rossini, Marco Riva & Federico Pessina

Authors
  1. Beatrice Claudia Bono
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  2. Zefferino Rossini
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  3. Marco Riva
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  4. Federico Pessina
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Contributions

Beatrice Claudia Bono: third surgeon, conceptualization, data curation, original draft preparation, writing-reviewing, video editing. Zefferino Rossini: patient recruitment, second surgeon. Marco Riva: supervision and reviewing of the final manuscript version. Federico Pessina: first surgeon, supervision, video voiceover and reviewing of the final manuscript version.

The patient was treated in accordance with the principles of the Helsinki Declaration and the local ethics committee. Written consent for the surgical procedure was waived. The patient gave her consent for the use of her data for scientific purposes.

Corresponding author

Correspondence to Beatrice Claudia Bono.

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Competing interests

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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Bono, B.C., Rossini, Z., Riva, M. et al. Microsurgical resection of a right dumbbell-shaped jugular foramen schwannoma through a modified retrosigmoid infra-jugular approach: how I do it. Acta Neurochir 165, 239–244 (2023). https://doi.org/10.1007/s00701-022-05444-y

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  • DOI: https://doi.org/10.1007/s00701-022-05444-y

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