Neurosurg Focus (Suppl) 36:Video 7, 2014

Vestibular schwannoma: suboccipital approach Sameer A. Sheth, M.D., Ph.D., Jennifer L. Tirino, M.D., and Robert L. Martuza, M.D. Department of Neurosurgery, Columbia University Medical Center, New York, New York Microsurgery via the suboccipital approach is a common treatment option for vestibular schwannomas (VS). The procedure is performed under general anesthesia with cranial nerve monitoring in the supine position. Following suboccipital craniectomy, durotomy, CSF release from the foramen magnum, and identification of cranial nerve position, the tumor is debulked internally. The internal auditory canal is drilled and dissection of the tumor progresses. Following resection, the IAC is waxed and a fat graft placed. A watertight pericranial graft is sewn in and a titanium mesh cranioplasty placed. The muscle and skin are closed in layers. The video can be found here: http://youtu.be/ialtKy3cuPU. (http://thejns.org/doi/abs/10.3171/2014.V1.FOCUS13318)

Key Words      •      vestibular schwannoma      •      suboccipital approach      •      microsurgery      •      video

Manuscript submitted September 3, 2013. Accepted November 1, 2013. Please include this information when citing this paper: DOI: 10.3171/2014.V1.FOCUS13318. Address correspondence to: Dr. Sameer A. Sheth, Columbia University Medical Center, Neurosurgery, New York Presbyterian Hospital, New York NY 10012. email: [email protected].

Neurosurg Focus / Volume 36 / January 2014

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Vestibular schwannoma: suboccipital approach.

Microsurgery via the suboccipital approach is a common treatment option for vestibular schwannomas (VS). The procedure is performed under general anes...
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