title: Image-guided drainage of cystic vestibular schwannomata.
abstract: 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.
authors.affiliation: Department of Neurosurgery, Regional Neurosciences Centres, Newcastle General Hospital, Newcastle Upon Tyne, UK. chris.barrett@nuth.nhs.uk
authors.forename: Chris
authors.initials: C
authors.lastname: Barrett
authors.forename: K S Manjunath
authors.initials: KS
authors.lastname: Prasad
authors.forename: John
authors.initials: J
authors.lastname: Hill
authors.forename: Ian
authors.initials: I
authors.lastname: Johnson
authors.forename: Judith M
authors.initials: JM
authors.lastname: Heaton
authors.forename: John E
authors.initials: JE
authors.lastname: Crossman
authors.forename: Alexander D
authors.initials: AD
authors.lastname: Mendelow
mesh_terms: 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