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A Hypothesis of Epiarachnoidal Growth of Vestibular Schwannoma at the Cerebello-Pontine Angle: Surgical Importance

AIMS: The purpose of this study is to clarify the rearrangement of the arachnoid membrane on the vestibular schwannoma during its growth in relation to adjacent neurovascular structures for a better understanding of dissecting plane of arachnoid during surgery. METHODS: Arachnoid membrane over the t...

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Bibliographic Details
Published in:Journal of postgraduate medicine (Bombay) 2003-02, Vol.48 (4)
Main Author: Ohata K, Tsuyuguchi N, Morino M, Takami T, Goto T, Hakuba A, Hara M
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Summary:AIMS: The purpose of this study is to clarify the rearrangement of the arachnoid membrane on the vestibular schwannoma during its growth in relation to adjacent neurovascular structures for a better understanding of dissecting plane of arachnoid during surgery. METHODS: Arachnoid membrane over the tumour was investigated during surgery with suboccipital transmeatal approach in twenty-six tumours. All microsurgical procedures were recorded with a video and reviewed. The tumour growth was classified into five stages depending upon the tumour diameter in the cerebello-pontine (CP) angle: Stage 1; purely intracanalicular (2 cases), Stage 2; less than 5 mm (2 cases), Stage 3; ≥ 5 and
ISSN:0022-3859