Microsurgical resection of an intravestibular schwannoma: a review of surgical technique and management considerations

Ramin A Morshed; Alexander F Haddad; Kunal P Raygor; Mary Jue Xu; Charles J Limb; Philip V Theodosopoulos

doi:10.3171/2021.7.FOCVID2187

Microsurgical resection of an intravestibular schwannoma: a review of surgical technique and management considerations

Neurosurg Focus Video. 2021 Oct 1;5(2):V6. doi: 10.3171/2021.7.FOCVID2187. eCollection 2021 Oct.

Authors

Ramin A Morshed¹, Alexander F Haddad¹, Kunal P Raygor¹, Mary Jue Xu², Charles J Limb², Philip V Theodosopoulos¹

Affiliations

¹ Departments of Neurological Surgery and.
² Otolaryngology-Head and Neck Surgery, University of California, San Francisco, California.

Abstract

Intravestibular schwannomas are rare tumors within the intralabyrinthine region and involve different management considerations compared to more common vestibular schwannomas. In this report, the authors review a case of a 52-year-old woman who presented with hearing loss and vestibular symptoms and was found to have a left intravestibular schwannoma. Given her debilitating vestibular symptoms, she underwent microsurgical resection. In this video, the authors review the relevant anatomy, surgical technique, and management considerations in these patients. The video can be found here: https://stream.cadmore.media/r10.3171/2021.7.FOCVID2187.

Keywords: intravestibular; microsurgery; schwannoma; translabyrinthine.