Clinical characteristics and outcomes after trigeminal schwannoma resection: a multi-institutional experience.

التفاصيل البيبلوغرافية
العنوان:	Clinical characteristics and outcomes after trigeminal schwannoma resection: a multi-institutional experience.
المؤلفون:	Nandoliya KR; Department of Neurological Surgery, Northwestern University Feinberg School of Medicine, 676 N. St. Clair Street, Suite 2210, Chicago, IL, 60611, USA., Vignolles-Jeong J; Department of Neurological Surgery, The Ohio State University College of Medicine, Columbus, USA., Karras CL; Department of Neurological Surgery, Northwestern University Feinberg School of Medicine, 676 N. St. Clair Street, Suite 2210, Chicago, IL, 60611, USA., Govind S; Department of Neurological Surgery, Northwestern University Feinberg School of Medicine, 676 N. St. Clair Street, Suite 2210, Chicago, IL, 60611, USA., Finger G; Department of Neurological Surgery, The Ohio State University College of Medicine, Columbus, USA., Thirunavu V; Department of Neurological Surgery, Northwestern University Feinberg School of Medicine, 676 N. St. Clair Street, Suite 2210, Chicago, IL, 60611, USA., Sonabend AM; Department of Neurological Surgery, Northwestern University Feinberg School of Medicine, 676 N. St. Clair Street, Suite 2210, Chicago, IL, 60611, USA., Magill ST; Department of Neurological Surgery, Northwestern University Feinberg School of Medicine, 676 N. St. Clair Street, Suite 2210, Chicago, IL, 60611, USA. stephen.magill@nm.org., Prevedello DM; Department of Neurological Surgery, The Ohio State University College of Medicine, Columbus, USA., Chandler JP; Department of Neurological Surgery, Northwestern University Feinberg School of Medicine, 676 N. St. Clair Street, Suite 2210, Chicago, IL, 60611, USA.
المصدر:	Neurosurgical review [Neurosurg Rev] 2024 Jul 18; Vol. 47 (1), pp. 340. Date of Electronic Publication: 2024 Jul 18.
نوع المنشور:	Journal Article; Multicenter Study
اللغة:	English
بيانات الدورية:	Publisher: Springer Berlin Heidelberg Country of Publication: Germany NLM ID: 7908181 Publication Model: Electronic Cited Medium: Internet ISSN: 1437-2320 (Electronic) Linking ISSN: 03445607 NLM ISO Abbreviation: Neurosurg Rev Subsets: MEDLINE
أسماء مطبوعة:	Publication: Berlin : Springer Berlin Heidelberg Original Publication: Berlin : Walter De Gruyter
مواضيع طبية MeSH:	Neurilemmoma/surgery , Cranial Nerve Neoplasms/surgery , Neurosurgical Procedures*/methods, Humans ; Female ; Male ; Middle Aged ; Adult ; Treatment Outcome ; Retrospective Studies ; Trigeminal Nerve Diseases/surgery ; Postoperative Complications/epidemiology
مستخلص:	Given their rarity, the clinical course of patients undergoing trigeminal schwannoma (TS) resection remains understudied. The objective of this study is to describe clinical characteristics and outcomes in patients undergoing surgical resection for TS in a multi-institutional cohort. This is a retrospective study of patients undergoing TS resection at two institutions between 2004 and 2022. Patient, radiographic, and clinical characteristics were reviewed and analyzed with standard statistical methods. Thirty patients were included. The median patient age was 43 (IQR: 35-52) years, and 14 (47%) patients were female. Median clinical and radiographic follow-ups were 43 (IQR: 20-81) and 47 (IQR: 27-97) months respectively. The most common presenting symptoms were trigeminal hypesthesia (57%) and headaches (30%), diplopia (30%), and ataxia/cerebellar signs (30%). The median maximum tumor diameter was 3.3 (IQR: 2.5-5.4) cm. Most tumors were Samii type C (50%) and mixed cystic-solid (63%). Surgical approaches included endoscopic endonasal (33%), supratentorial (30%), combined/staged (20%), infratentorial (10%), and anterior petrosal (7%) approaches. Gross-total resection was achieved in 16 (53%) patients. Radiographic tumor recurrence was noted in four patients at a median of 79 (range 5-152) months. Twenty-six (87%) patients reported improvements in at least one symptom by last follow-up. The most common perioperative complication was new cranial nerve deficit, with 17% of patients having a transient deficit and 10% having a permanent cranial nerve deficit. Surgical resection of TS showed good progression-free survival and symptom improvement, but was associated with cranial nerve deficits. (© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)
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فهرسة مساهمة:	Keywords: Endoscopic endonasal approach; Microsurgery; Schwannoma; Surgical approaches; Surgical outcomes; Trigeminal schwannoma
تواريخ الأحداث:	Date Created: 20240718 Date Completed: 20240718 Latest Revision: 20240718
رمز التحديث:	20240718
DOI:	10.1007/s10143-024-02550-6
PMID:	39023629
قاعدة البيانات:	MEDLINE

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تدمد:	1437-2320
DOI:	10.1007/s10143-024-02550-6