The Real Story of the Fifth Nerve Neurinoma: A Review of Our Learning Curve about Surgical Approaches and Associated Shortcomings
Background and Importance: Our learning curve during two decades of neurosurgical practice has been changed from an abstractive to a more meaningful and conductive state. In cases of fifth nerve neurinoma, pre-operative anatomopathologic diagnosis could lead us to a pre-planned program during and af...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Guilan University of Medical Sciences
2015-06-01
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| Series: | Iranian Journal of Neurosurgery |
| Subjects: | |
| Online Access: | http://irjns.org/browse.php?a_code=A-10-100-17&slc_lang=en&sid=1 |
| _version_ | 1819178031294447616 |
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| author | Eshagh Bahrami Hessam Rahatlou Arash Fattahi Shahrzad Astaraki Mohammad-Reza Khani Massood Shirvani Mohammad-Jafar Ghaempanah |
| author_facet | Eshagh Bahrami Hessam Rahatlou Arash Fattahi Shahrzad Astaraki Mohammad-Reza Khani Massood Shirvani Mohammad-Jafar Ghaempanah |
| author_sort | Eshagh Bahrami |
| collection | DOAJ |
| description | Background and Importance: Our learning curve during two decades of neurosurgical practice has been changed from an abstractive to a more meaningful and conductive state. In cases of fifth nerve neurinoma, pre-operative anatomopathologic diagnosis could lead us to a pre-planned program during and after the surgery to get the safe surgical result.
Case Presentation: Representation of two complex fifth nerve neurinoma cases, untoward happenings and the way to manage patient safety. Review of literature to find a wise approach for maximum benefit is included here.
Conclusion: Both of our patients have developed iatrogenic unilateral corneal anesthesia, one of them warned of it and the second one not. We have had more problems in the way of preservation of the cornea in the warned case. We have reviewed the factors influencing safe corneal preservation after the operation of fifth nerve neurinoma which are included following items: surgical approach, Anatomopathologic location of the tumor (pre-ganglionic, ganglionic or post-ganglionic), simultaneous damage of V and VII nerve including vidian nerve, preserved corneal sensation, any combination of injury to physiologic and mechanical protectors. The cornerstones to have a safe cornea following such surgeries are pre-operative exam of fifth and 7th nerve in all aspects and also early post-operative evaluation of them including the state of the tear secretion. We encounter corneal anesthesia and epithelial defect. Iatrogenic damage of vidian nerve depending to approach selected seems to be considerable. Simultaneous damage of V and VII nerve during the surgery of large neurinoma are expected and noteworthy. |
| first_indexed | 2024-12-22T21:36:05Z |
| format | Article |
| id | doaj.art-681a9af155a64924874e9894c8c6acf4 |
| institution | Directory Open Access Journal |
| issn | 2423-6497 2423-6829 |
| language | English |
| last_indexed | 2024-12-22T21:36:05Z |
| publishDate | 2015-06-01 |
| publisher | Guilan University of Medical Sciences |
| record_format | Article |
| series | Iranian Journal of Neurosurgery |
| spelling | doaj.art-681a9af155a64924874e9894c8c6acf42022-12-21T18:11:46ZengGuilan University of Medical SciencesIranian Journal of Neurosurgery2423-64972423-68292015-06-01114752The Real Story of the Fifth Nerve Neurinoma: A Review of Our Learning Curve about Surgical Approaches and Associated ShortcomingsEshagh Bahrami0Hessam Rahatlou1Arash Fattahi2Shahrzad Astaraki3Mohammad-Reza Khani4Massood Shirvani5Mohammad-Jafar Ghaempanah6 Background and Importance: Our learning curve during two decades of neurosurgical practice has been changed from an abstractive to a more meaningful and conductive state. In cases of fifth nerve neurinoma, pre-operative anatomopathologic diagnosis could lead us to a pre-planned program during and after the surgery to get the safe surgical result. Case Presentation: Representation of two complex fifth nerve neurinoma cases, untoward happenings and the way to manage patient safety. Review of literature to find a wise approach for maximum benefit is included here. Conclusion: Both of our patients have developed iatrogenic unilateral corneal anesthesia, one of them warned of it and the second one not. We have had more problems in the way of preservation of the cornea in the warned case. We have reviewed the factors influencing safe corneal preservation after the operation of fifth nerve neurinoma which are included following items: surgical approach, Anatomopathologic location of the tumor (pre-ganglionic, ganglionic or post-ganglionic), simultaneous damage of V and VII nerve including vidian nerve, preserved corneal sensation, any combination of injury to physiologic and mechanical protectors. The cornerstones to have a safe cornea following such surgeries are pre-operative exam of fifth and 7th nerve in all aspects and also early post-operative evaluation of them including the state of the tear secretion. We encounter corneal anesthesia and epithelial defect. Iatrogenic damage of vidian nerve depending to approach selected seems to be considerable. Simultaneous damage of V and VII nerve during the surgery of large neurinoma are expected and noteworthy.http://irjns.org/browse.php?a_code=A-10-100-17&slc_lang=en&sid=1Corneal anesthesiaIatrogenicCombined approachCerebello Pontine Angle tumorVidian nervePainless corneal perforationHerpes ophthalmicusNeurinomaInterdurall location |
| spellingShingle | Eshagh Bahrami Hessam Rahatlou Arash Fattahi Shahrzad Astaraki Mohammad-Reza Khani Massood Shirvani Mohammad-Jafar Ghaempanah The Real Story of the Fifth Nerve Neurinoma: A Review of Our Learning Curve about Surgical Approaches and Associated Shortcomings Iranian Journal of Neurosurgery Corneal anesthesia Iatrogenic Combined approach Cerebello Pontine Angle tumor Vidian nerve Painless corneal perforation Herpes ophthalmicus Neurinoma Interdurall location |
| title | The Real Story of the Fifth Nerve Neurinoma: A Review of Our Learning Curve about Surgical Approaches and Associated Shortcomings |
| title_full | The Real Story of the Fifth Nerve Neurinoma: A Review of Our Learning Curve about Surgical Approaches and Associated Shortcomings |
| title_fullStr | The Real Story of the Fifth Nerve Neurinoma: A Review of Our Learning Curve about Surgical Approaches and Associated Shortcomings |
| title_full_unstemmed | The Real Story of the Fifth Nerve Neurinoma: A Review of Our Learning Curve about Surgical Approaches and Associated Shortcomings |
| title_short | The Real Story of the Fifth Nerve Neurinoma: A Review of Our Learning Curve about Surgical Approaches and Associated Shortcomings |
| title_sort | real story of the fifth nerve neurinoma a review of our learning curve about surgical approaches and associated shortcomings |
| topic | Corneal anesthesia Iatrogenic Combined approach Cerebello Pontine Angle tumor Vidian nerve Painless corneal perforation Herpes ophthalmicus Neurinoma Interdurall location |
| url | http://irjns.org/browse.php?a_code=A-10-100-17&slc_lang=en&sid=1 |
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