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Aktuelles Management bei Vestibularisschwannomen

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Part of the book series: HNO Praxis heute ((HNO,volume 27))

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Das Vestibularisschwannom stellt mit 8% den häufigsten intrakraniellen Tumor dar, der bei Lokalisation im inneren Gehörgang und/oder dem Kleinhirnbrückenwinkel von den Myelinscheiden des 8. Hirnnerven ausgeht. Wenngleich der Tumor auch als Akustikusneurinom bezeichnet wird, geht die Neubildung in mehr als 90% von den Gleichgewichtsnerven aus. Als Sonderform ist die Neurofibromatose vom Typ 2 zu beachten, bei der überwiegend beidseitige Tumormanifestationen auftreten.

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Literatur

  1. Schaller B (2003) Die Chirurgie des Kleinhirnbrückenwinkels. Teil 1: Allgemeine Bemerkungen. HNO 51: 284–295

    Article  PubMed  CAS  Google Scholar 

  2. Propp JM, McCarthy BJ, Davis FG, Preston-Martin S (2006) Descriptive epidemiology of vestibular schwannomas. Neuro Oncol 8: 1–11

    Article  PubMed  Google Scholar 

  3. Stangerup SE, Caye-Thomasen P, Tos M, Thomsen J (2006) The natural history of vestibular schwannoma. Otol Neurootol 27: 547–552

    Article  Google Scholar 

  4. Seol HJ, Jung HW, Park SH, Hwang SK, Kim DG, Paek SH, Chung YS, Sub Lee C (2005) Aggressive vestibular schwannomas showing postoperative rapid growth — their association with decreased p27 expression. J Neurooncol 75: 203–207

    Article  PubMed  Google Scholar 

  5. Charabi S, Tos M, Thomsen J, Rygaard J, Fundova P, Charabi B (2000) Cystic vestibular schwannoma — clinical and experimental studies. Acta Otolaryngol (Suppl) 543: 11–13

    Article  CAS  Google Scholar 

  6. Evans DG, Moran A, King A, Saeed S, Gurusinghe N, Ramsden R (2005) Incidence of vestibular schwannoma and neurofibromatosis 2 in the North West of England over a 10-year period: Higher incidence than previously thought. Otol Neurotol 26: 93–97

    Article  PubMed  Google Scholar 

  7. Walsh RM, Bath AP, Bance ML, Keller A, Rutka JA (2000) Comparison of two radiologic methods for measuring the size and growth rate of extracanalicular vestibular schwannomas. Am J Otol 21(5): 716–721

    PubMed  CAS  Google Scholar 

  8. Steinhart H, Triebswetter F, Wolf S, Gress H, Bohlender J, Iro H (2003) Das Wachstum von Schwannomen des Nervus vestibularis korreliert mit der Zellproliferation. Laryngorhinootologie 82: 318–321

    Article  PubMed  CAS  Google Scholar 

  9. Meyer TA, Canty PA, Wilkinson EP, Hansen MR, Rubinstein JT, Gantz BJ (2006) Small acoustic neuromas: surgical outcomes versus observation or radiation. Otol Neurootol 27: 380–392

    Article  Google Scholar 

  10. Tschudi DC, Linder TE, Fisch U (2000) Conservative management of unilateral acoustic neuromas. Am J Otol 21: 722–728

    PubMed  CAS  Google Scholar 

  11. Shirato H, Sakamoto T, Sawamura Y et al. (1999) Comparison between observation policy and fractionated stereotactic radiotherapy (SRT) as an initial management for vestibular schwannoma. Int J Radiat Oncol Biol Phys 44: 545–550

    Article  PubMed  CAS  Google Scholar 

  12. Perry BP, Gantz BJ, Rubinstein JT (2001) Acoustic neuromas in the elderly. Otol Neurotol 22: 389–391

    Article  PubMed  CAS  Google Scholar 

  13. Bozorg Grayeli A, Kalamarides M, Ferrary E, Bouccara D, El Gharem H, Rey A, Sterkers O (2005) Conservative management versus surgery for small vestibular schwannomas. Acta Otolaryngol 125: 1063–1068

    Article  PubMed  Google Scholar 

  14. Rutherford SA, King AT (2005) Vestibular schwannoma management: what is the «best« option? Br J Neurosurg 19: 309–316

    Article  PubMed  CAS  Google Scholar 

  15. Gjuric M, Wigand ME, Wolf SR (2001) Enlarged middle fossa vestibular schwannoma surgery: experience with 735 cases. Otol Neurootol 22: 223–231

    Article  CAS  Google Scholar 

  16. Schaller B (2003b) Die Chirurgie des Kleinhirnbrückenwinkels. Teil 2: Spezielle Bemerkungen. HNO 51: 375–385

    Article  PubMed  CAS  Google Scholar 

  17. Schaller B, Probst R, Gratzl O, Rem JA, Hauser R, Tolnay M (1996) Different aspects of hearing preservation in surgery of vestibular schwannoma in women and men. Acta Neurchir (Wien) 138: 1275–1281

    Article  CAS  Google Scholar 

  18. Irving RM, Viani L, Hardy DG, Baguley DM, Moffat DA (1995) Nervus intermedius function after vestibular schwannoma removal: clinical features and pathophysiological mechanisms. Laryngoscope 105: 809–813

    Article  PubMed  CAS  Google Scholar 

  19. Tufarelli D, Meli A, Alesii A, De Angelis E, Badaracco C, Falcioni M, Sanna M (2006) Quality of life after acoustic neuroma surgery. Otol Neurootol 27: 403–409

    Article  Google Scholar 

  20. Ryzenman JM, Pensak ML, Tew JM Jr (2004) Patient perception of comorbid conditions after acoustic neuroma management: survey results from the acoustic neuroma association. Laryngoscope 114: 814–820

    Article  PubMed  Google Scholar 

  21. Massager N, Nissim O, Delbrouck C et al. (2006) Role of intracanalicular volumetric and dosimetric parameters on hearing preservation after vestibular schwannoma radiosurgery. Int J Radiat Oncol Biol Phys 64: 1331–1340

    Article  PubMed  Google Scholar 

  22. Forster DM, Kemeny AA, Pathak A, Walton L (1996) Radiosurgery: a minimally interventional alternative to microsurgery in the management of acoustic neuroma. Br J Neurosurg 10: 169–174

    Article  PubMed  CAS  Google Scholar 

  23. Slattery WH, Brackmann DE (1995) Results of surgery following stereotactic irradiation for acoustic neuromas. Am J Otol 16: 315–319

    PubMed  Google Scholar 

  24. Limb CJ, Long DM, Niparko JK (2005) Acoustic neuromas after failed radiation therapy: challenges of surgical salvage. Laryngoscope 115: 93–98

    PubMed  Google Scholar 

  25. Combs SE, Thilmann C, Debus J, Schulz-Ertner D (2006) Long-term outcome of stereotactic radiosurgery (SRS) in patients with acoustic neuromas. Int J Radiation Oncology Biol Phys 64: 1341–1347

    Article  Google Scholar 

  26. Lunsford LD, Niranjan A, Flickinger JC, Maitz A, Kondziolka D (2005) Radiosurgery of vestibular schwannomas: summary of experience in 829 cases. Neurosurg 102(Suppl): 195–199

    Article  Google Scholar 

  27. Ito K, Shin M, Matsuzaki M, Sugasawa, Sasaki T (2000) Risk factors for neurological complications after acoustic neurinoma radiosurgery: refinement from further experiences. Int J Radiat Oncol Biol Phys 48: 75–80

    Article  PubMed  CAS  Google Scholar 

  28. Sandooram D, Grunfeld EA, McKinney C, Gleeson MJ (2004) Quality of life following microsurgery, radiosurgery and conservative management for unilateral vestibular schwannoma. Clin Otolaryngol 29: 621–627

    Article  PubMed  CAS  Google Scholar 

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© 2007 Springer Medizin Verlag Heidelberg

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Schick, B., Iro, H. (2007). Aktuelles Management bei Vestibularisschwannomen. In: Biesinger, E., Iro, H. (eds) Schwindel. HNO Praxis heute, vol 27. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-47448-7_8

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  • DOI: https://doi.org/10.1007/978-3-540-47448-7_8

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-47443-2

  • Online ISBN: 978-3-540-47448-7

  • eBook Packages: Medicine (German Language)

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