1. Efficacy of cyst-cisternal shunt for refractory cyst regrowth of cystic vestibular schwannomas
- Author
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Ryouken Kimura, Mitsutoshi Nakada, Sho Tamai, Katsuyoshi Miyashita, and Yosuke Kawahara
- Subjects
Male ,medicine.medical_specialty ,Neurology ,030218 nuclear medicine & medical imaging ,03 medical and health sciences ,0302 clinical medicine ,Cisterna Magna ,parasitic diseases ,medicine ,Humans ,Cyst ,Aged ,Neuroradiology ,medicine.diagnostic_test ,Cysts ,Cistern ,business.industry ,Anastomosis, Surgical ,Interventional radiology ,Neuroma, Acoustic ,medicine.disease ,Shunt (medical) ,Surgery ,Vestibular Schwannomas ,Neurology (clinical) ,Neurosurgery ,business ,030217 neurology & neurosurgery - Abstract
Vestibular schwannomas (VSs) are generally benign and slow-growing tumors, and microsurgical resection is the commonly recommended treatment. Some reports suggested that inserting a cystoperitoneal shunt was effective for treatment of cystic VSs; however, there was no report of a cyst-cisternal shunt which diverts cyst fluid into cistern. We report a case of cystic VS with repeated cyst regrowth within weeks after repeated surgeries. We prevented further recurrence using cyst-cisternal shunt. This technique may be a new treatment option for refractory cyst regrowth of cystic VSs.
- Published
- 2019
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