Image-guided drainage of cystic vestibular schwannomata.
The management of vestibular schwannomata is controversial. Surveillance remains an acceptable option for elderly patients or those with small lesions. Stereoradiosurgery is also an option, while surgery is often preferred in younger patients with larger lesions. In elderly patients with lesions causing brainstem compression, craniotomy is a major undertaking. We report two cases of cystic cerebellopontine angle tumours in patients with co-morbidity, who were managed successfully with image-guided insertion of a cystoperitoneal shunt.
Barrett
Chris
C
Department of Neurosurgery, Regional Neurosciences Centres, Newcastle General Hospital, Newcastle Upon Tyne, UK. chris.barrett@nuth.nhs.uk
Prasad
K S Manjunath
KS
Hill
John
J
Johnson
Ian
I
Heaton
Judith M
JM
Crossman
John E
JE
Mendelow
Alexander D
AD
D000368:Aged; D002530:Cerebellopontine Angle; D003560:Cysts / Q000175:diagnosis / Q000601:surgery*; D004322:Drainage / Q000295:instrumentation; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D009464:Neuroma, Acoustic / Q000175:diagnosis / Q000601:surgery*; D019635:Neurosurgical Procedures / Q000379:methods*; D025321:Surgery, Computer-Assisted; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome