Translabyrinthine resection of neurofibromatosis type 2 associated

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We present video of gross-total resection of a large cerebellopontine angle tumor consisting of both vestibular and facial schwannoma components via the ...
Neurosurg Focus (Suppl) 36:Video 6, 2014

Translabyrinthine resection of neurofibromatosis type 2 associated vestibular and facial schwannomas, repair of facial nerve, and placement of auditory brainstem implant Marc S. Schwartz, M.D., Gregory P. Lekovic, M.D., Ph.D., Derald E. Brackmann, M.D., and Courtney C. J. Voelker, M.D., Ph.D. House Clinic, Neuro-otology and Neurosurgery, Los Angeles, California We present video of gross-total resection of a large cerebellopontine angle tumor consisting of both vestibular and facial schwannoma components via the translabyrinthine route in a patient with neurofibromatosis type 2. The facial nerve is reconstructed using a greater auricular nerve graft, and an auditory brainstem implant is placed. Prior to surgery the patient had no facial nerve function on the operative side and had lost useful hearing. He also had usable vision only on the ipsilateral side and had contralateral vocal cord paralysis. The video can be found here: http://youtu.be/IOkEND-0vhI. (http://thejns.org/doi/abs/10.3171/2014.V1.FOCUS13429)

Key Words      •      cerebellopontine angle      •      schwannoma      •      translabyrinthine route      •      neurofibromatosis      •      video

Manuscript submitted October 1, 2013. Accepted November 1, 2013. Please include this information when citing this paper: DOI: 10.3171/2014.V1.FOCUS13429. Address correspondence to: Marc S. Schwartz, M.D., House Clinic, Neurosurgery, 2100 W 3rd St, Los Angeles, CA 90057. email: [email protected].

Neurosurg Focus / Volume 36 / January 2014

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