title: Technical nuances of resection of giant (> 5 cm) vestibular schwannomas: pearls for success.
abstract: Removal of vestibular schwannomas (VSs, or acoustic neuromas) remains one of the most challenging operations in neurosurgery. Giant or huge tumors (> 5 cm) heighten these challenges, and technical nuances play a special role in maximizing tumor resection while minimizing complications. In this article, the senior author describes his technical experience with microsurgical excision of giant VSs. The accompanying video further illustrates these details.
authors.affiliation: Goodman Campbell Brain and Spine, and Indiana University Department of Neurological Surgery, Indianapolis, Indiana 46202, USA.
authors.forename: Charles G
authors.initials: CG
authors.lastname: Kulwin
authors.forename: Aaron A
authors.initials: AA
authors.lastname: Cohen-Gadol
mesh_terms: D006801:Humans; D008279:Magnetic Resonance Imaging; D009464:Neuroma, Acoustic / Q000601:surgery*; D019635:Neurosurgical Procedures / Q000009:adverse effects*; D011183:Postoperative Complications / Q000209:etiology* / Q000628:therapy; D011300:Preoperative Care / Q000009:adverse effects; D013525:Surgical Instruments; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome