Abstract
Purpose: Schwannomas of the lower cranial nerves are rare tumours. We have surgical experience in six patients.Material and methods: We have retrospectively reviewed the files of the six patients with jugular foramen schwannomas that were treated in multidisciplinary collaboration in the departments of neurosurgery and ENT. Results: From a clinical point of view, the most important finding was that these tumours usually mimic a vestibular schwannoma. The imaging findings however always allowed the differentiation. The surgical technique included in all cases a suboccipital approach for the intracranial part. When large, the extracranial extension had to be removed through a lateral cervical or transfacial approach. There was no mortality and minor morbidity, with good functional outcome. In subtotally removed tumours, recurrence occurred.Conclusion: A combined neurosurgical and ENT approach allows for safe removal of these often large skull base tumours.
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