Long-term prognosis of preserved useful hearing after surgery in patients with vestibular schwannoma: a study of 91 cases.

Abstract:

BACKGROUND:In patients with a vestibular schwannoma, some studies have reported that useful hearing preserved initially after surgery deteriorates gradually in the long term. Studies with more patients are needed to clarify the maintenance rate of postoperative hearing function and to identify prognostic of hearing function. METHOD:Ninety-one patients (mean age, 39.5 years; mean tumor size, 18.9 mm) with preserved useful hearing immediately after surgery were retrospectively analyzed. The useful hearing was defined as the American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS) classes A and B. Hearing tests, including auditory brainstem responses (ABR) and distortion product otoacoustic emissions (DPOAE), were evaluated preoperatively, immediately after surgery, and at outpatient follow-up. RESULTS:At the final follow-up (mean, 63.0 months), the useful hearing was maintained in 79 patients (87%), and the hearing class remained unchanged during the follow-up period in 40 patients (44%). Significant predictors of useful hearing maintenance were AAO-HNS class A immediately after surgery, improvement of ABR, and the absence of postoperative DPOAE deterioration. Postoperative DPOAE deterioration correlated with hearing class deterioration. CONCLUSIONS:Despite hearing being preserved in vestibular schwannoma patients immediately after surgery, Thirteen percent lost their useful hearing during the long follow-up period, and hearing class worsened in 55% of the patients. This study, which analyzed one of the largest series of vestibular schwannoma patients, demonstrated that retrocochlear condition is a key factor for useful hearing maintenance. In patients with vestibular schwannoma who have preserved hearing function, regular postoperative monitoring of hearing function is as important as regular MRI.

journal_name

Acta Neurochir (Wien)

journal_title

Acta neurochirurgica

authors

Ichimasu N,Kohno M,Nakajima N,Matsushima K,Tanaka Y,Tsukahara K,Inagaki T,Yoshino M,Nagata O

doi

10.1007/s00701-020-04523-2

subject

Has Abstract

pub_date

2020-11-01 00:00:00

pages

2619-2628

issue

11

eissn

0001-6268

issn

0942-0940

pii

10.1007/s00701-020-04523-2

journal_volume

162

pub_type

杂志文章
  • The risk of haemorrhage after image guided stereotactic biopsy of intra-axial brain tumours--a prospective study.

    abstract:OBJECTIVE:To analyze prospectively the frequency and the risk of symptomatic and asymptomatic haemorrhage after image guided stereotactic biopsy of intra-axial brain tumours. METHODS:The study was conducted within a time frame of 24 months (April 1998-April 2000). 326 patients (150 males, 176 females; mean age 56.8 ye...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s007010170058

    authors: Kreth FW,Muacevic A,Medele R,Bise K,Meyer T,Reulen HJ

    更新日期:2001-01-01 00:00:00

  • Intracranial neurinomas of the nerves of the jugular foramen. Report of 12 personal cases.

    abstract::12 patients, 10 women and 2 men, were operated on for removal of a jugular foramen neurinoma. Removal was total in 11 cases and operative mortality was 16.6%. As there are no clinical or instrumental signs that permit sure distinction between these tumours and those of the cerebellopontine angle, only a thorough radio...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/BF01406293

    authors: Pluchino F,Crivelli G,Vaghi MA

    更新日期:1975-01-01 00:00:00

  • Usefulness of gallium-67 scintigraphy in neurohypophyseal germinoma.

    abstract::The application of gallium-67 (67Ga) citrate has not been reported for the detection of an intracranial germinoma. The purpose of this report is to further evaluate the effectiveness of 67Ga scintigraphy in neurohypophyseal germinomas. 67Ga studies in five male patients with histologically verified intracranial pure g...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s007010070109

    authors: Abe T,Tanioka D,Izumiyama H,Matsumoto K,Shinozuka A

    更新日期:2000-01-01 00:00:00

  • STA-MCA anastomosis in patients with skull base tumours involving the internal carotid artery--haemodynamic assessment by ultrasonic Doppler flowmeter.

    abstract::The role of superficial temporal artery--middle cerebral artery (STA-MCA) anastomosis was investigated with an ultrasonic Doppler flowmeter in 3 patients with sphenoid ridge meningiomas and one with a parasellar malignant teratoma, all of which involved the intracranial internal carotid artery. The intraoperative Dopp...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/BF01406817

    authors: Moritake K,Handa H,Yamashita J,Takeuchi J,Taki W,Takebe Y,Konishi T

    更新日期:1984-01-01 00:00:00

  • Effects of needle shape on the integrity of the vascular endothelium.

    abstract::Lesions generated by the passage of micro-needles through vessel walls are of concern because any lesion may significantly alter hemodynamics of an anastomosis. To study this problem, three different needles were tested on the exposed carotid arteries of 30 rats: the 100 mu taper point, the 100 mu cutting point, and t...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/BF01402308

    authors: Dujovny M,Nossovsky N,Diaz FG,Ausman JI,Berman KS

    更新日期:1985-01-01 00:00:00

  • Gamma knife radiosurgical management of petroclival meningiomas results and indications.

    abstract:BACKGROUND:Surgical treatment of petroclival meningiomas remains challenging. In order to refine indications for the use of stereotactic radiosurgery in the treatment of these tumours, we retrospectively evaluated our experience in this field. METHODS:Thirty-two patients harboring a petroclival meningioma were treated...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-003-0123-1

    authors: Roche PH,Pellet W,Fuentes S,Thomassin JM,Régis J

    更新日期:2003-10-01 00:00:00

  • Operative findings and surgical outcomes in patients undergoing Chiari 1 malformation decompression: relationship to the extent of tonsillar ectopia.

    abstract:BACKGROUND:The diagnosis of Chiari 1 malformation is based on the extent of tonsillar ectopia. OBJECTIVE:To examine the relationship between the extent of tonsillar ectopia and the intra-operative findings and clinical outcome following Chiari decompression surgery. METHODS:Patients were divided into four groups depe...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-019-04172-0

    authors: Heffez DS,Golchini R,Ghorai J,Cohen B

    更新日期:2020-07-01 00:00:00

  • Behçet's disease, associated with subarachnoidal heamorrhage due to intracranial aneurysm.

    abstract::Behçet's disease is an unusual medical condition in central Europe and North America, however more common in Turkey and Japan. It was originally described in Turkey, characterized by recurrent oral ulcers, genital ulcers and also uveitis. A variety of vascular lesions such as venous occlusions, arterial aneurysms and ...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-005-0516-4

    authors: Zsigmond P,Bobinski L,Boström S

    更新日期:2005-05-01 00:00:00

  • Neuropathological and neurophysiological effects of interstitial white matter autologous and non-autologous protein containing solutions: further evidence for a glioma derived permeability factor.

    abstract::The feline infusion model of brain edema was used to evaluate the pathophysiological effects of 0.6 ml infusions of autologous serum protein (66%), human serum protein (66%), human glioma cyst fluid and a tissue culture medium (TCM) on the structure and function of the forebrain white matter. These infusions increased...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/BF02112037

    authors: Whittle IR,Ironside JW,Piper IR,Miller JD

    更新日期:1993-01-01 00:00:00

  • Social media for dissemination and public engagement in neurosurgery-the example of Brainbook.

    abstract:BACKGROUND:Public engagement has become one of the most effective tools in gaining feedback and perspectives from members of the public, involving patients with decisions, and inspiring young people to carry the medical profession forwards. Brainbook is a multi-platform, social media-based resource that was created spe...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-018-3757-8

    authors: Alamri A,Rogers P,Kearns C,Doke T,Al-Habib A,Servadei F,Hutchinson PJ,Kolias AG,Uff C

    更新日期:2019-01-01 00:00:00

  • Development and rupture of a de novo basilar artery aneurysm after surgical removal of a cerebellar arteriovenous malformation.

    abstract:BACKGROUND:The de novo development of an aneurysm in an previously normal artery is an uncommon event. We describe a patient who developed a de novo bleeding aneurysm of the basilar artery in the three weeks following the surgical removal of a large cerebellar AVM. METHOD-FINDINGS: A 48-year-old man suddenly developed ...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-003-0125-z

    authors: Brock S,Giombini S,Ciceri E

    更新日期:2003-12-01 00:00:00

  • Intramedullary spinal cord tumour associated with neurofibromatosis type 1.

    abstract::We investigated the characteristic features of intramedullary spinal cord tumour associated with neurofibromatosis type 1 (NF-1). We have experienced 44 cases of pathologically confirmed intramedullary spinal cord tumour. Diagnosis of NF-1 was done according to the criteria set by the National Institute of Health Cons...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章,评审

    doi:10.1007/BF01411560

    authors: Yagi T,Ohata K,Haque M,Hakuba A

    更新日期:1997-01-01 00:00:00

  • Chronic adult hydrocephalus due to uncommon causes.

    abstract::The authors report on four unusual cases of chronic adult hydrocephalus extracted from a large personal series of patients with hydrocephalic dementia. A syndrome resembling that of normal pressure hydrocephalus was due to the following aetiologies in these patients: Paget's disease of the skull, unruptured cerebral a...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/BF01808923

    authors: Lobato RD,Lamas E,Cordobés F,Muñoz MJ,Roger R

    更新日期:1980-01-01 00:00:00

  • Implantation of pure cultured olfactory ensheathing cells in an animal model of parkinsonism.

    abstract:BACKGROUND:Implantation of neural cells has been proposed as a therapeutic strategy for repairing the injured or diseased brain. In the present study we have examined the potential of olfactory ensheathing cells (OEC) to promote brain repair after surgical implantation in a rodent model of parkinsonism. METHODS:Neonat...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-007-1121-5

    authors: Dewar D,Bentley D,Barnett SC

    更新日期:2007-01-01 00:00:00

  • Imaging of human brain tumor tissue by near-infrared laser coherence tomography.

    abstract:INTRODUCTION:Intraoperative detection of residual tumor remains an important challenge in surgery to treat gliomas. New developments in optical techniques offer non-invasive high-resolution imaging that may integrate well into the workflow of neurosurgical operations. Using an intracranial glioma model, we have recentl...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-009-0248-y

    authors: Böhringer HJ,Lankenau E,Stellmacher F,Reusche E,Hüttmann G,Giese A

    更新日期:2009-05-01 00:00:00

  • Diffusion tensor imaging abnormalities of the trigeminal nerve root in patients with classical trigeminal neuralgia: a pre- and postoperative comparative study 4 years after microvascular decompression.

    abstract:BACKGROUND:As diffusion tensor imaging (DTI) is able to assess tissue integrity, authors used diffusion to detect abnormalities in trigeminal nerves (TGN) in patients with trigeminal neuralgia (TN) caused by neurovascular compression (NVC) who had undergone microvascular decompression (MVD). The authors also studied an...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-019-03913-5

    authors: Leal PRL,Roch J,Hermier M,Berthezene Y,Sindou M

    更新日期:2019-07-01 00:00:00

  • The monoclonal antibody Ki-67 as a marker for proliferating cells in stereotactic biopsies of brain tumours.

    abstract::The monoclonal antibody Ki-67 has been tested as a marker of proliferating cells in 52 stereotactic brain tumour biopsies. The antibody reacts with a nuclear protein expressed in G1,S, G2n and M-phases of the cell cycle. Using the immunoperoxidase technique on squash preparations the percentage of Ki-67 positive cells...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/BF01560376

    authors: Ostertag CB,Volk B,Shibata T,Burger P,Kleihues P

    更新日期:1987-01-01 00:00:00

  • The pharmacological action of pronase-digested egg albumin upon cerebral hypoxia.

    abstract::The purification of a substance which protects mitochondrial activity against its decay in association with various cerebral pathologies, and the effect of this substance in vitro and in vivo have been mentioned. Defatted egg albumin was hydrolyzed with pronase, and diafiltrated through mesh, to obtain fractions of mo...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/BF01405239

    authors: Ishii S,Sato K,Watanabe H,Kobayashi M,Shimizu T

    更新日期:1977-01-01 00:00:00

  • NON-activated protein C as post-treatment after spinal cord compression injury in rats.

    abstract:BACKGROUND:Neuroprotective effects of recombinant human activated Protein C (rhAPC) in models of Spinal Cord Injury (SCI) and ischemic stroke have been reported in rodents. To rule out immunogenicity of rhAPC and to possibly maintain the physiological PC/thrombin balance the use of zymogen PC in SCI might be preferable...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-006-0784-7

    authors: Petter-Puchner AH,Sieber J,Hopf R,Ohlinger W,Schuller M,Redl H

    更新日期:2006-07-01 00:00:00

  • Cerebral aneurysm neck diameter is an independent predictor of progressive occlusion after stent-assisted coiling.

    abstract:BACKGROUND:Some intracranial aneurysms treated by stent-assisted coiling (SAC) with incomplete occlusion undergo progressive occlusion (PO) during follow-up period. We analyzed the predictors for the occurrence of PO. METHODS:Among 74 cerebral aneurysms treated by SAC using the Enterprise or Neuroform stents from 2010...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-017-3199-8

    authors: Nakazaki M,Nonaka T,Nomura T,Onda T,Yonemasu Y,Takahashi A,Hashimoto Y,Honda O,Oka S,Sasaki M,Daibo M,Honmou O

    更新日期:2017-07-01 00:00:00

  • Deep brain stimulation of the subthalamic nucleus versus the zona incerta in the treatment of essential tremor.

    abstract:BACKGROUND:Deep brain stimulation (DBS) is an effective treatment for essential tremor (ET). Currently the ventrolateral thalamus is the target of choice, but the posterior subthalamic area (PSA), including the caudal zona incerta (cZi), has demonstrated promising results, and the subthalamic nucleus (STN) has been sug...

    journal_title:Acta neurochirurgica

    pub_type: 临床试验,杂志文章

    doi:10.1007/s00701-011-1157-4

    authors: Blomstedt P,Sandvik U,Linder J,Fredricks A,Forsgren L,Hariz MI

    更新日期:2011-12-01 00:00:00

  • Dural arteriovenous malformation: an unusual cause of trigeminal neuralgia.

    abstract::Trigeminal neuralgia has been rarely reported in association with dural arteriovenous malformations (DAVMs). We describe a case of trigeminal neuralgia resulting from compression of the trigeminal nerve at its root entry zone by a large tentorial DAVM. Surgical interruption of the draining vein at its exit from the te...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章,评审

    doi:10.1007/s00701-007-1251-9

    authors: Rahme R,Ali Y,Slaba S,Samaha E

    更新日期:2007-01-01 00:00:00

  • Gene expression profiling of meningiomas: current status after a decade of microarray-based transcriptomic studies.

    abstract:PURPOSE:This article provides a review of the transcriptomic expression profiling studies that have been performed on meningiomas so far. We discuss some future prospects and challenges ahead in the field of gene expression profiling. METHODS:We performed a systematic search in the PubMed and EMBASE databases in May 2...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章,评审

    doi:10.1007/s00701-010-0906-0

    authors: Aarhus M,Lund-Johansen M,Knappskog PM

    更新日期:2011-03-01 00:00:00

  • Gliadel wafer in initial surgery for malignant glioma: long-term follow-up of a multicenter controlled trial.

    abstract:OBJECTIVE:Adjuvant systemic chemotherapy increases survival of primary malignant glioma patients beyond 12-18 months. The only interstitial chemotherapy treatment approved for malignant glioma is Gliadel wafer containing carmustine (BCNU) placed in the resection cavity at surgery. Analysis of a large trial by Westphal ...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1007/s00701-005-0707-z

    authors: Westphal M,Ram Z,Riddle V,Hilt D,Bortey E,Executive Committee of the Gliadel Study Group.

    更新日期:2006-03-01 00:00:00

  • Children with unilateral occlusion or stenosis of the ICA associated with surrounding moyamoya vessels--"unilateral" moyamoya disease.

    abstract::The clinical features of 6 children who are probable sufferers of "unilateral" Moyamoya disease are here reported. They showed angiographic findings which were compatible with those of Moyamoya disease, albeit only on one side. They did not, however, show any basic aetiologic factors. The age of onset, the clinical sy...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/BF01808612

    authors: Matsushima T,Inoue T,Natori Y,Fujii K,Fukui M,Hasuo K,Kuwabara Y

    更新日期:1994-01-01 00:00:00

  • Robot-assisted multi-level anterior lumbar interbody fusion: an anatomical study.

    abstract:BACKGROUND:Minimally invasive surgical approaches still provide limited exposure. Access to the L2-L5 intervertebral discs during a single procedure is challenging and often requires repositioning of the patient and adopting an alternative approach. OBJECTIVES:Investigate the windows to the L2-L5 intervertebral discs ...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-018-3621-x

    authors: Troude L,Boissonneau S,Malikov S,Champsaur P,Blondel B,Dufour H,Fuentes S

    更新日期:2018-10-01 00:00:00

  • Thallium-201 technetium-99m HMPAO single-photon emission computed tomography (SPECT) imaging for guiding stereotactic craniotomies in heavily irradiated malignant glioma patients.

    abstract::SPECT scanning with Tl-201 and Tc-99m offers a unique, inexpensive functional imaging modality to combine with CT stereotactic craniotomy for guiding resection of necrosis and/or tumour in patients treated with escalated doses of radiation (> 6000 cGy) by either brachytherapy or radiosurgery. Thirty-two cases were ana...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/BF01405531

    authors: Alexander E 3rd,Loeffler JS,Schwartz RB,Johnson KA,Carvalho PA,Garada BM,Zimmerman RE,Holman BL

    更新日期:1993-01-01 00:00:00

  • Dissection from fundus to neck for ruptured anterior and middle cerebral artery aneurysms at the acute surgery.

    abstract::It is generally believed that a ruptured aneurysm should be dissected from its neck to its fundus or that only the neck should be dissected. This study was conducted to clarify whether, during the acute stage, intra-operative bleeding occurs at the same site as the initial rupture point when aneurysms are dissected co...

    journal_title:Acta neurochirurgica

    pub_type: 临床试验,杂志文章

    doi:10.1007/s007010050344

    authors: Inagawa T

    更新日期:1999-01-01 00:00:00

  • "Black bone": the new backbone in CAD/CAM-assisted craniosynostosis surgery?

    abstract:BACKGROUND:Computer-assisted design and manufacturing (CAD/CAM) techniques have been implemented in craniosynostosis surgery to facilitate cranial remodeling. However, until now, computed tomography (CT) scans with ionizing radiation were necessary to plan the procedure and create guiding templates. The purpose of this...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-020-04445-z

    authors: Lethaus B,Gruichev D,Gräfe D,Bartella AK,Hahnel S,Yovev T,Pausch NC,Krause M

    更新日期:2020-06-09 00:00:00

  • Ependymoma misdiagnosed as tuberculoma, misguided by overemphasis on MR spectroscopy in endemic area.

    abstract::Ependymomas and tuberculomas are common paediatric posterior fossa lesions in developing countries and may be confused with each other due to some overlapping features. The distinction is important as the treatment for each is entirely different. We have described three young children in whom clinical-radiological fea...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-013-1811-0

    authors: Futane S,Salunke P,Sahoo S,Mulinani N,Vyas S

    更新日期:2013-10-01 00:00:00