Analysis of the key points of neuroendoscopic transcranial resection for cerebellopontine angle tumors

Objective To summarize the key points of neuroendoscopic transcranial resection for cerebellopontine angle (CPA) tumors. Methods Twenty⁃eight patients with CPA tumors diagnosed and treated in Xiangya Hospital Central South University from January 2019 to December 2020 were included, and all of them...

Full description

Bibliographic Details
Main Authors: DING Wei, GONG Xuan, YANG Kui, LI Chun⁃tao, FENG Song⁃shan, HUANG Zheng, ZHOU Hong⁃shu, LIU Zhi⁃xiong, LI Zhen⁃yan
Format: Article
Language:English
Published: Tianjin Huanhu Hospital 2021-08-01
Series:Chinese Journal of Contemporary Neurology and Neurosurgery
Subjects:
Online Access:http://www.cjcnn.org/index.php/cjcnn/article/view/2375
_version_ 1818715971910631424
author DING Wei
GONG Xuan
YANG Kui
LI Chun⁃tao
FENG Song⁃shan
HUANG Zheng
ZHOU Hong⁃shu
LIU Zhi⁃xiong
LI Zhen⁃yan
author_facet DING Wei
GONG Xuan
YANG Kui
LI Chun⁃tao
FENG Song⁃shan
HUANG Zheng
ZHOU Hong⁃shu
LIU Zhi⁃xiong
LI Zhen⁃yan
author_sort DING Wei
collection DOAJ
description Objective To summarize the key points of neuroendoscopic transcranial resection for cerebellopontine angle (CPA) tumors. Methods Twenty⁃eight patients with CPA tumors diagnosed and treated in Xiangya Hospital Central South University from January 2019 to December 2020 were included, and all of them underwent neuroendoscopic transcranial surgery to remove CPA tumors. Results All the 28 patients were successfully treated with neuroendoscopic transcranial resection of tumors in CPA region, and the tumors were totally removed. After operation, 9 cases of acoustic neuroma, 8 cases of meningioma, 9 cases of cholesteatoma, one case of hemangioblastoma, and one case of trigeminal neurinoma were confirmed by postoperative pathology. Postoperative facial nerve function was grade Ⅲ in 3 cases, grade Ⅱ in 6 cases, and grade Ⅰ in 19 cases. One patient had no obvious recovery of auditory nerve function injury, and 2 patients had dizziness, vertigo and nausea after operation. No complications such as cerebrospinal fluid leakage, meningitis and incision infection occurred, and no death occurred. At 3 months of follow ⁃ up, no tumor recurrence was seen on MRI, and no new neurological symptoms occurred. Conclusions Neuroendoscopic transcranial resection of CPA tumors has many advantages, but also has some shortcomings, and has a good development in the future.
first_indexed 2024-12-17T19:11:51Z
format Article
id doaj.art-35df5f3a62d34ab9833698aa0be9efed
institution Directory Open Access Journal
issn 1672-6731
language English
last_indexed 2024-12-17T19:11:51Z
publishDate 2021-08-01
publisher Tianjin Huanhu Hospital
record_format Article
series Chinese Journal of Contemporary Neurology and Neurosurgery
spelling doaj.art-35df5f3a62d34ab9833698aa0be9efed2022-12-21T21:35:50ZengTianjin Huanhu HospitalChinese Journal of Contemporary Neurology and Neurosurgery1672-67312021-08-0121864064410.3969/j.issn.1672⁃6731.2021.08.005Analysis of the key points of neuroendoscopic transcranial resection for cerebellopontine angle tumorsDING Wei0 GONG Xuan1YANG Kui2LI Chun⁃tao3FENG Song⁃shan4HUANG Zheng5 ZHOU Hong⁃shu6LIU Zhi⁃xiong7 LI Zhen⁃yan8Department of Neurosurgery, Xiangya Hospital Central South University, Changsha 410008, Hu'nan, ChinaDepartment of Neurosurgery, Xiangya Hospital Central South University, Changsha 410008, Hu'nan, ChinaDepartment of Neurosurgery, Xiangya Hospital Central South University, Changsha 410008, Hu'nan, ChinaDepartment of Neurosurgery, Xiangya Hospital Central South University, Changsha 410008, Hu'nan, ChinaDepartment of Neurosurgery, Xiangya Hospital Central South University, Changsha 410008, Hu'nan, ChinaDepartment of Neurosurgery, Xiangya Hospital Central South University, Changsha 410008, Hu'nan, ChinaDepartment of Neurosurgery, Xiangya Hospital Central South University, Changsha 410008, Hu'nan, ChinaDepartment of Neurosurgery, Xiangya Hospital Central South University, Changsha 410008, Hu'nan, ChinaDepartment of Neurosurgery, Xiangya Hospital Central South University, Changsha 410008, Hu'nan, ChinaObjective To summarize the key points of neuroendoscopic transcranial resection for cerebellopontine angle (CPA) tumors. Methods Twenty⁃eight patients with CPA tumors diagnosed and treated in Xiangya Hospital Central South University from January 2019 to December 2020 were included, and all of them underwent neuroendoscopic transcranial surgery to remove CPA tumors. Results All the 28 patients were successfully treated with neuroendoscopic transcranial resection of tumors in CPA region, and the tumors were totally removed. After operation, 9 cases of acoustic neuroma, 8 cases of meningioma, 9 cases of cholesteatoma, one case of hemangioblastoma, and one case of trigeminal neurinoma were confirmed by postoperative pathology. Postoperative facial nerve function was grade Ⅲ in 3 cases, grade Ⅱ in 6 cases, and grade Ⅰ in 19 cases. One patient had no obvious recovery of auditory nerve function injury, and 2 patients had dizziness, vertigo and nausea after operation. No complications such as cerebrospinal fluid leakage, meningitis and incision infection occurred, and no death occurred. At 3 months of follow ⁃ up, no tumor recurrence was seen on MRI, and no new neurological symptoms occurred. Conclusions Neuroendoscopic transcranial resection of CPA tumors has many advantages, but also has some shortcomings, and has a good development in the future.http://www.cjcnn.org/index.php/cjcnn/article/view/2375brain neoplasmscerebellopontine angleneuroendoscopes
spellingShingle DING Wei
GONG Xuan
YANG Kui
LI Chun⁃tao
FENG Song⁃shan
HUANG Zheng
ZHOU Hong⁃shu
LIU Zhi⁃xiong
LI Zhen⁃yan
Analysis of the key points of neuroendoscopic transcranial resection for cerebellopontine angle tumors
Chinese Journal of Contemporary Neurology and Neurosurgery
brain neoplasms
cerebellopontine angle
neuroendoscopes
title Analysis of the key points of neuroendoscopic transcranial resection for cerebellopontine angle tumors
title_full Analysis of the key points of neuroendoscopic transcranial resection for cerebellopontine angle tumors
title_fullStr Analysis of the key points of neuroendoscopic transcranial resection for cerebellopontine angle tumors
title_full_unstemmed Analysis of the key points of neuroendoscopic transcranial resection for cerebellopontine angle tumors
title_short Analysis of the key points of neuroendoscopic transcranial resection for cerebellopontine angle tumors
title_sort analysis of the key points of neuroendoscopic transcranial resection for cerebellopontine angle tumors
topic brain neoplasms
cerebellopontine angle
neuroendoscopes
url http://www.cjcnn.org/index.php/cjcnn/article/view/2375
work_keys_str_mv AT dingwei analysisofthekeypointsofneuroendoscopictranscranialresectionforcerebellopontineangletumors
AT gongxuan analysisofthekeypointsofneuroendoscopictranscranialresectionforcerebellopontineangletumors
AT yangkui analysisofthekeypointsofneuroendoscopictranscranialresectionforcerebellopontineangletumors
AT lichuntao analysisofthekeypointsofneuroendoscopictranscranialresectionforcerebellopontineangletumors
AT fengsongshan analysisofthekeypointsofneuroendoscopictranscranialresectionforcerebellopontineangletumors
AT huangzheng analysisofthekeypointsofneuroendoscopictranscranialresectionforcerebellopontineangletumors
AT zhouhongshu analysisofthekeypointsofneuroendoscopictranscranialresectionforcerebellopontineangletumors
AT liuzhixiong analysisofthekeypointsofneuroendoscopictranscranialresectionforcerebellopontineangletumors
AT lizhenyan analysisofthekeypointsofneuroendoscopictranscranialresectionforcerebellopontineangletumors