Browsing by Author "Russo, A."
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Item Growth of a cystic vestibular schwannoma(Medimond S R L, 1999) Charabi, Samih; Tos, Mirico; Thomsen, Jens; Sanna, M.; Taibah, A.; Russo, A.; Mancini, F.; Basut, Oğuz; Uludağ Üniversitesi/Tıp Fakültesi/Kulak Burun Boğaz Cerrahisi Anabilim Dalı.A 70 years old female referred to the Department of Neurosurgery Rigshospital, due to 3-4 months of increasing ataxia of lower extremities and poor hearing of the left ear. A CT with contrast revealed 4x4x3 cm cystic tumor originating from the left internal auditory canal and extends into the posterior fossa, compressing the 4. Ventricle causing obstructive hydrocephalus moreover the CT revealed via the lateral suboccipital approach. Due to adherence to the brainstem a small remnant of the tumor mass was not totally removed. Postoperatively the patient still had hydrocephalus that demanded shunt insertion. A control CT performed in 1995 revealed a growth of the tumor remnants and a 2,5 x 2 cm cystic tumor was demonstrated The ventricle system became normal and no hydrocephalus was seen. It was decided not to reoparate but to observe the patient. In 1998 the patient was referred to the Department of Neurology Gentofte University Hospital, due to left side facial palsy. Acute CT scanning revealed a 5x4x3 cm cystic tumor, displacing the 4. Ventricle. What may be concluded from this report is that the growth of the cystic tumors are significantly higher compared to the non cystic VS, patients with cystic VS should not be offered the non immediate surgical option "wait and scan" and leaving tumor remnants at surgery of cystic VS is a risky matter as the remnants well grew fast. The latter conclusions is in accordance with what have previously been published on growth of the cystic variant of VS.Item The role of CT to evaluate lamina cribrosa and cerebrospinal fluid leak in functional endoscopic sinus surgery(Medimond, 1999) Sanna, M.; Taibah, A.; Russo, A.; Mancini, F.; Onart, Selcuk; Yırcalı, Gonca; Uludağ Üniversitesi/Tıp Fakültesi/Kulak Burun Boğaz Anabilim Dalı.Item Subdural hematoma. A rare complication after rerouting of facial nerve at the vestibular schwannoma surgery(Medimond S R L, 1999) Charabi, Saddam; Tos, Mirko; Thomsen, Jens; Sanna, M.; Taibah, A.; Russo, A.; Mancini, F.; Basut, Oğuz; Uludağ Üniversitesi/Tıp Fakültesi/Kulak Burun Boğaz Cerrahisi Anabilim Dalı.Subdural hematoma is a rare complication subsequent to rerouting of the facialis nerve, injured during removal of a vestibular schwannoma via the translabyrinthine approach. In the current paper we present a cure of a 42 years old female with a CT verified vestibular schwannoma with a maximum extrameatal diameter of 3 cm. The nerve was cut during tumor removal and it was rerouted to the petrosal nerve. 6 days after surgery the patient developed increasing headache and ataxia. Acute CT scan revealed a subdural hematoma. The case is presented and discussed.