Vestibular schwannoma surgery complications

• Intralabyrinthine schwannoma masking as Meniere's disease
• Cerebrospinal fluid leakage after retrosigmoid craniotomy and craniectomy for cerebellopontine angle tumors: A comparative retrospective study
• Tumor-targeted Gamma Knife radiosurgery in patients with trigeminal neuralgia secondary to benign tumors
• Comparing surgical outcomes of the semisitting versus lateral position in large vestibular schwannoma surgery: a randomized clinical trial
• Balance control and vestibular disorders in pregnant women: A comprehensive review on pathophysiology, clinical features and rational treatment
• "Salvage surgery for vestibular schwannomas after failed stereotactic radiosurgery or radiation: A systematic review and meta-analysis"
• Early results with hypofractionated gamma knife radiotherapy for treatment of vestibular schwannoma
• Necessary Intensity of Monitoring After Elective Craniotomies: A Prediction Score for Postoperative Complications to Stratify Postoperative Monitoring

Despite improvements in microsurgical technique and the use of intraoperative electrophysiological monitoring, the potential for facial and cochlear nerve injury remains a possibility in the resection of vestibular schwannomas (VS).

Vestibular schwannoma surgery complications vary as expected by treatment modality, with cerebrospinal fluid leak, tinnitus, and trigeminal symptoms being among the most common complications following microsurgery ¹⁾.

see Facial nerve palsy after vestibular schwannoma surgery.

In 333 patients after microsurgery (Koos grading scale 1: 12, grade 2: 34, grade 3: 62, and grade 4: 225) permanent trigeminal nerve dysfunction was found in 1% ²⁾.

In large/compressive, trigeminal nerve deficit has to be sought to avoid corneal complications in particular. Trigeminal hypoesthesia occurs preoperatively in about half of the cases. It remains relatively stable after tumor removal, but there appears to be an increased rate of absent corneal reflex and neurotrophic keratitis postoperatively. Karkas et al. were able to correlate pre/postoperative trigeminal hypoesthesia with pre/postoperative MRI findings ³⁾.

see Postoperative headache after vestibular schwannoma surgery.

see Vestibular schwannoma surgery vascular complications.

Cerebrospinal fluid fistula after vestibular schwannoma surgery.

see Hearing Preservation in Vestibular Schwannoma

Neuropsychiatric disorders after vestibular schwannoma surgery