Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Headache after acoustic neuroma excision

S G Harner1, C W Beatty, M J Ebersold

  • 1Department of Otorhinolaryngology, Mayo Clinic, Rochester, Minnesota 55902.

The American Journal of Otology
|November 1, 1993
PubMed
Summary

Postoperative headache after acoustic neuroma removal via the retrosigmoid approach occurs in 23% at 3 months, decreasing over time. Management focuses on conservative treatments, with similar headache rates to the translabyrinthine approach.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Sinus radiography self-test.

Postgraduate medicine·2016
Same author

Use of TEOAE, ABR, and Acoustic Reflex Measures to Assess Auditory Function Patients With Acoustic Neuroma.

American journal of audiology·2015
Same author

In vitro Characteristics of a Glass Ionomer Cement.

Skull base surgery·2006
Same author

Persistent posttraumatic cerebrospinal fluid leakage.

Neurosurgical focus·2006
Same author

Headache after resection of acoustic neuroma.

Headache·2004
Same author

Antrochoanal polyps in children.

American journal of rhinology·2001

Area of Science:

  • Neurosurgery
  • Neurology
  • Otolaryngology

Background:

  • The retrosigmoid approach for acoustic neuroma removal is under scrutiny for postoperative headaches.
  • Acoustic neuromas, also known as vestibular schwannomas, are benign tumors that develop on the nerve leading from the inner ear to the brain.

Purpose of the Study:

  • To evaluate the incidence and duration of postoperative headaches following the retrosigmoid approach for acoustic neuroma removal.
  • To compare the incidence of headaches with the translabyrinthine approach.

Main Methods:

  • Retrospective review of 331 patients undergoing acoustic neuroma removal via the retrosigmoid approach.
  • Analysis of headache incidence at 3 months, 1 year, and 2 years post-surgery.

Main Results:

Related Experiment Videos

  • Postoperative headache incidence was 23% at 3 months, decreasing to 16% at 1 year and 9% at 2 years.
  • Most headaches were managed conservatively with analgesics, physiotherapy, and reassurance.
  • No patients required further surgical intervention for headaches.
  • Headache incidence appears similar to the translabyrinthine approach.

Conclusions:

  • The retrosigmoid approach has a manageable rate of postoperative headache that diminishes over time.
  • Conservative management is effective for most cases.
  • Filling the craniectomy defect may be a future strategy to reduce headache incidence.