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Schwannomas in the Craniocervical Region: Complete Surgical Removal

  • Zaman Mirzadeh
  • Robert F. Spetzler
Chapter
Part of the Tumors of the Central Nervous System book series (TCNS, volume 11)

Abstract

Schwannomas of the craniocervical region are rare and formidable surgical lesions. Most patients become symptomatic with vague symptoms of headache or neck pain although some show evidence of lower cranial nerve dysfunction, including dysphagia or hoarseness. In addition to complete resection, the primary surgical goals in the modern era include preservation and restoration of function of the lower cranial nerves and of hearing and facial nerve function. Achieving these goals requires a nuanced understanding of several skull base approaches and their combinations, including the far-lateral approach and its extensions. With improvements in preoperative planning, advanced imaging, surgical techniques, and postoperative care, modern surgical series have demonstrated improved postoperative morbidity profiles, with special attention to postoperative swallowing function, and successful clinical outcomes in this patient population.

Keywords

Vertebral Artery Internal Auditory Canal Occipital Condyle Jugular Foramen Craniocervical Junction 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer Science+Business Media Dordrecht 2014

Authors and Affiliations

  1. 1.Division of Neurological SurgeryBarrow Neurological Institute, St. Joseph’s Hospital and Medical CenterPhoenixUSA

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