Diagnostic and surgical challenges in resection of cerebellar angle tumors and acoustic neuromas

Neal Patel, Jared Wilkinson, Nicholas Gianaris, Aaron A. Cohen-Gadol

Research output: Contribution to journalArticle

5 Scopus citations

Abstract

Background: Cerebellopontine angle (CPA) lesions can mimic more common tumors through nonspecific symptoms and radiologic findings. Methods: To increase the preoperative diagnostic accuracy for CPA pathologies, the authors review the full spectrum of reported CPA lesions. Results: A wide spectrum of lesions mimics vestibular schwannoma (VS) in the space of the CPA. Conclusion: The presence of any suspicious clinical and radiographic finding uncharacteristic of VS makes it necessary to maintain a broad differential diagnosis list. Differentiation of CPA lesions, although challenging, may be best achieved by incorporating the clinical history, physical exam findings, audiometry results, and multi-modality imaging studies to construct a comprehensive preoperative knowledge of the lesion. This knowledge will allow improved operative execution and outcomes.

Original languageEnglish (US)
Article number92931
JournalSurgical Neurology International
Volume3
Issue number1
DOIs
StatePublished - Jan 1 2012

Keywords

  • Acoustic neuroma
  • cerebellopontine angle tumor
  • ependymoma
  • neurosurgical procedures

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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