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References in periodicals archive ?
Key words: Acoustic neuroma Magnetic resonance imaging Cerebellopontine angle.
Aix-Marseille), Parikh (Bharti Ear Nose & Throat Care Center, Gujarat), and Miyazaki (Jikei U., Tokyo) introduce, describe, and promote the retrosigmoid approach not only for otologists but for any surgeon dealing with pathologies of the cerebellopontine angle. Their topics include the surgical anatomy of the cerebellopontine angle, nerve monitoring for cerebellopontine angle surgery, vestibular neurotomy by minimally invasive retrosigmoid approach, hearing preservation surgery for acoustic neuroma, and auditory brainstem implants.
Expanding this experience from neurovascular syndromes to cerebellopontine angle tumors represents the next step in the expanding era of minimally invasive endoscopic neurosurgery.
These lesions occur also in other sites, such as subarachnoid space, brainstem, juxtaventricular, spinal cord, and very rarely in the cerebellopontine angle [21, 22].
Cerebellar liponeurocytoma most commonly involves the cerebellar hemispheres but may be located in the paramedian region or vermis and may extend to the cerebellopontine angle or fourth ventricle.
The remaining material is organized by anatomy, with seven chapters focusing on the external auditory canal and pinna; the middle ear and mastoid; temporal bone vascular anatomy, anomalies, and disease, with an emphasis on pulsatile tinnitus; the inner ear and otodystrophics; temporal bone trauma; anatomy and development of the facial nerve; and the vestibulocochlear nerve, with an emphasis on the normal and diseased internal auditory canal and cerebellopontine angle. These chapters include coverage of normal anatomy, anatomical variations, and imaging protocols and image evaluation for specific clinical problems.
Consecutive cranial CT and cranial MRI scans demonstrated progression of the lesions, with the biggest lesion (1.8 cm in diameter) located in the right cerebellopontine angle and cerebellum (Figure 2, panels A and B).
The seventh and eighth cranial nerves (facial and vestibulocochlear) consistently course towards the internal auditory canal within the cerebellopontine angle (Haines, 2006).
The facial nerve may be purposefully or inadvertently cut during surgery in the cerebellopontine angle. Repair of this nerve remains a challenge.