Auszug
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
Schaller B (2003) Die Chirurgie des Kleinhirnbrückenwinkels. Teil 1: Allgemeine Bemerkungen. HNO 51: 284–295
Propp JM, McCarthy BJ, Davis FG, Preston-Martin S (2006) Descriptive epidemiology of vestibular schwannomas. Neuro Oncol 8: 1–11
Stangerup SE, Caye-Thomasen P, Tos M, Thomsen J (2006) The natural history of vestibular schwannoma. Otol Neurootol 27: 547–552
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
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
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
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
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
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
Tschudi DC, Linder TE, Fisch U (2000) Conservative management of unilateral acoustic neuromas. Am J Otol 21: 722–728
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
Perry BP, Gantz BJ, Rubinstein JT (2001) Acoustic neuromas in the elderly. Otol Neurotol 22: 389–391
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
Rutherford SA, King AT (2005) Vestibular schwannoma management: what is the «best« option? Br J Neurosurg 19: 309–316
Gjuric M, Wigand ME, Wolf SR (2001) Enlarged middle fossa vestibular schwannoma surgery: experience with 735 cases. Otol Neurootol 22: 223–231
Schaller B (2003b) Die Chirurgie des Kleinhirnbrückenwinkels. Teil 2: Spezielle Bemerkungen. HNO 51: 375–385
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
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
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
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
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
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
Slattery WH, Brackmann DE (1995) Results of surgery following stereotactic irradiation for acoustic neuromas. Am J Otol 16: 315–319
Limb CJ, Long DM, Niparko JK (2005) Acoustic neuromas after failed radiation therapy: challenges of surgical salvage. Laryngoscope 115: 93–98
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
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
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
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
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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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