CC BY-NC-ND 4.0 · J Neurol Surg B 2019; 80(S 03): S302-S303
DOI: 10.1055/s-0038-1676990
Skull Base: Operative Videos
Georg Thieme Verlag KG Stuttgart · New York

Resection of Cerebellopontine Angle Meningioma via Retrosigmoid Approach Aiming for Hearing Improvement

Yuki Shinya
1  Department of Neurosurgery, Fuji Brain Institute and Hospital, Shizuoka, Japan
,
Hideaki Ono
1  Department of Neurosurgery, Fuji Brain Institute and Hospital, Shizuoka, Japan
,
Tomohiro Inoue
2  Department of Neurosurgery, NTT Medical Center Tokyo, Tokyo, Japan
,
Akira Tamura
1  Department of Neurosurgery, Fuji Brain Institute and Hospital, Shizuoka, Japan
› Author Affiliations
Further Information

Publication History

27 May 2018

11 November 2018

Publication Date:
22 February 2019 (online)

  

Abstract

We present a 71-year-old female case of left cerebellopontine angle (CPA) meningioma who presented with progressive hearing loss. The tumor was 35 mm in maximum diameter, obviously compressed the brain stem and cerebellum, and also displaced cranial nerves 7th and 8th anteriorly ([Fig. 1]). Retrosigmoid approach was chosen to resect the tumor aiming for hearing improvement. We performed dissection of the tumor from cranial nerves 7th and 8th gently and resection of the tumor except for the part adhesive to these cranial nerves ([Fig. 2]). Postoperative course was good without any new neurological deficit. Postoperative examination also showed improvement of high-frequency hearing of the left side, and auditory brainstem response demonstrated wave 2 to 5, which was not identify on preoperative examination. These procedures enabled safe and effective resection of the tumor and contributed to hearing improvement.

The link to the video can be found at: https://youtu.be/hkRSCxtV3bY.