4.1 Article

Management of vestibular schwannomas in young patients -: comparison of clinical features and outcome with adult patients

Journal

CHILDS NERVOUS SYSTEM
Volume 23, Issue 8, Pages 891-895

Publisher

SPRINGER
DOI: 10.1007/s00381-007-0308-7

Keywords

vestibular schwannoma; young patients; retrosigmoid approach; facial nerve preservation; hearing preservation

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Objects Vestibular schwannomas (VS) in young patients are rare. They are regarded to have different biological characteristics. Our objective is to analyze a series of such patients, with respect to their clinical presentation, treatment, and outcome and to compare the results to a matched series of adult patients. Materials and methods Retrospective analysis of 20 patients under 21 years of age. All patients underwent surgery via the retrosigmoid approach. The analysis included: age, gender, tumor size, clinical, and neurological pre- and postoperative status including cochlear and facial nerve function, and complications. Statistical comparison of the young patient's data with a series of 200 adult patients previously published by the authors. Conclusions The current study demonstrates that the outcome after surgical management in patients harboring VS does not show any significant difference between young and adult patients.

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