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Gamma Knife surgery for facial nerve schwannomas.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Moon, Ju Hyung Chang, Won Seok Jung, Hyun Ho Lee, Kyu Sung Park, Yong Gou Chang, Jong Hee
Description	Author Affiliation: Moon JH ( Department of Neurosurgery.)
Abstract	OBJECT: The aim of this study was to evaluate the tumor control rate and functional outcomes after Gamma Knife surgery (GKS) among patients with a facial nerve schwannoma. METHODS: The authors reviewed the radiological data and clinical records for 14 patients who had consecutively undergone GKS for a facial nerve schwannoma. Before GKS, 12 patients had facial palsy, 7 patients had hearing disturbance, and 5 patients had undergone partial or subtotal tumor resection. The mean and median tumor volumes were 3707 mm(3) and 3000 mm(3), respectively (range 117-10,100 mm(3)). The mean tumor margin dose was 13.2 Gy (range 12-15 Gy), and the mean maximum tumor dose was 26.4 Gy (range 24-30 Gy). The mean follow-up period was 80.7 months (range 2-170 months). RESULTS: Control of tumor growth was achieved in all 12 (100%) patients who were followed up for longer than 2 years. After GKS, facial nerve function improved in 2 patients, remained unchanged in 9 patients, and worsened in 3 patients. All patients who had had serviceable hearing at the preliminary examination maintained their hearing at a useful level after GKS. Other than mild tinnitus reported by 3 patients, no other major complications developed. CONCLUSIONS: GKS for facial nerve schwannomas resulted in excellent tumor control rates and functional outcomes. GKS might be a good primary treatment option for patients with a small- to medium-sized facial nerve schwannoma when facial nerve function and hearing are relatively preserved.
File Format	HTM / HTML
ISSN	00223085
e-ISSN	19330693
Journal	Journal of Neurosurgery
Issue Number	Suppl
Volume Number	121
Language	English
Publisher	American Association of Neurological Surgeons
Publisher Date	2014-12-01
Publisher Place	United States
Access Restriction	Open
Subject Keyword	Discipline Neurosurgery Cranial Nerve Neoplasms Surgery Facial Nerve Neurilemmoma Radiosurgery Adolescent Physiology Magnetic Resonance Imaging Neoplasm, Residual Recovery Of Function Retrospective Studies Tomography, X-ray Computed
Content Type	Text
Resource Type	Article
Subject	Neurology (clinical) Surgery

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