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Multimodality Management of Trigeminal Schwannomas
Ajay Niranjan1, Samuel Barnett2, Vijay Anand3
1Department of Neurological Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania, United States.
Journal of Neurological Surgery. Part B, Skull Base
|July 22, 2016
Summary
Trigeminal schwannomas need expert skull base team management. Multimodality approaches, including surgery and radiosurgery, aim to improve symptoms and preserve nerve function.
Area of Science:
- Neurosurgery
- Skull Base Surgery
- Oncology
Background:
- Trigeminal schwannomas are rare tumors requiring complex management.
- Current treatment strategies involve a combination of surgical and radiosurgical interventions.
Purpose of the Study:
- To outline the multimodality management strategies for trigeminal schwannomas.
- To emphasize the importance of an expert skull base surgical team.
Main Methods:
- Review of transcranial and transnasal surgical approaches.
- Evaluation of microsurgical and radiosurgical techniques.
- Analysis of imaging for treatment planning.
Main Results:
- Complete surgical resection is ideal but not always feasible.
- Radiosurgery is effective for small tumors and residual/recurrent disease.
- Combined surgical resection and radiosurgery suit larger tumors.
Conclusions:
- Multimodality management by an expert skull base team is crucial for optimal outcomes.
- Treatment selection depends on tumor size, location, and patient factors.
- Goals include symptom improvement, nerve preservation, and mass effect control.

