Author/Editor		Dolenc, VV
Title		Frontotemporal epideural approach to trigeminal neurinomas
Type		članek
Source		Acta Neurochir (Wien)
Vol. and No.		Letnik 130
Publication year		1994
Volume		str. 55-65
Language		eng
Abstract		From 1980 through 1993 an series of 44 patients with trigeminal neurinomas were treated. Five of them were operated on for the remainder of the tumour as they had undergone previous surgery elsewhere, 35 were operated on for the first time, and 4 were not operated on for various reasons. An epidural approach to the neurinomas originating in the braches of the Vth nerve peripheraly to the Gasserian ganglion (GG) was used. In the neurinomas originating in the GG or in the root of the Vth nerve, either an epidural-transdural approach or an epidural-transdural-transpetrous approach was used. All tumours operated on using the approach described in this article were completely removed. In 10 patients, the Vth nerve sensory deficits increased in comparison with preoperative deficits; in 9 their state remained unaltered; and in 11 the sensory function of the Vth nerve improved. In those patients who had experienced pre-operative atypical trigeminal pain, the pain disappeared after surgery. There was no additional treatment: radiosurgery, irradiation or chemotherapy. Histopathological examination did not reveal any malignant changes in the tumours in any of the patients. Base on our own experience and on the published data it is believed that the best treatment for trigeminal neurinomas is complete microsurgical removal of the lesion.
Descriptors		NEURILEMMOMA TRIGEMINAL NERVE TRIGEMINAL GANGLION