Evolution of techniques for the resection of vestibular schwannomas: from saving life to saving function.

Abstract:

:The current state of surgery for vestibular schwannomas (VSs) is the result of a century of step-by-step technical progress by groundbreaking surgeons who transformed the procedure from its hazardous infancy and high mortality rate to its current state of safety and low morbidity rate. Harvey Cushing advocated bilateral suboccipital decompression and developed the method of intracapsular tumor enucleation. Walter Dandy supported the unilateral suboccipital approach and developed the technique of gross-total tumor resection. Microsurgical techniques revolutionized VS surgery to its current status. In this article, the authors review the early history of surgery for VSs with an emphasis on contributions from pioneering surgeons. The authors examined the Cushing Brain Tumor Registry for clues regarding the bona fide intention of Cushing for the resection of these tumors.

journal_name

J Neurosurg

journal_title

Journal of neurosurgery

authors

Akard W,Tubbs RS,Seymour ZA,Hitselberger WE,Cohen-Gadol AA

doi

10.3171/2008.3.17473

subject

Has Abstract

pub_date

2009-04-01 00:00:00

pages

642-7

issue

4

eissn

0022-3085

issn

1933-0693

journal_volume

110

pub_type

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