Management of large vestibular schwannoma. Part I. Planned subtotal resection followed by Gamma Knife surgery: radiological and clinical aspects

摘要: Object In large vestibular schwannoma (VS), microsurgery is the main treatment option, and complete resection considered primary goal. However, previous studies have documented suboptimal facial nerve outcomes in patients who undergo of VSs. Subtotal likely to reduce risk injury but increases lesion regrowth. Gamma Knife surgery (GKS) can be performed achieve long-term growth control residual VS after incomplete resection. this study authors report on results treated using planned subtotal followed by GKS with special attention volumetric growth, rate, symptoms. Methods Fifty consecutive underwent combined strategy microsurgical removal for VSs between 2002 2009 were retrospectively analyzed. Patients neurofibromatosis Type 2 excluded. Patient charts reviewed clinical Audiograms evaluate...