Evolution of techniques for the resection of vestibular schwannomas: From saving life to saving function - Historical vignette

William Akard, R. Shane Tubbs, Zachary A. Seymour, William E. Hitselberger, Aaron A. Cohen-Gadol

Research output: Contribution to journalReview article

12 Scopus citations


The current state of surgery for vestibular schwannomas (VSs) is the result of a century of step-by-step technical progress by groundbreaking surgeons who transformed the procedure from its hazardous infancy and high mortality rate to its current state of safety and low morbidity rate. Harvey Cushing advocated bilateral suboc cipital decompression and developed the method of intracapsular tumor enucleation. Walter Dandy supported the unilateral suboccipital approach and developed the technique of gross-total tumor resection. Microsurgical techniques revolutionized VS surgery to its current status. In this article, the authors review the early history of surgery for VSs with an emphasis on contributions from pioneering surgeons. The authors examined the Cushing Brain Tumor Registry for clues regarding the bona fide intention of Cushing for the resection of these tumors.

Original languageEnglish (US)
Pages (from-to)642-647
Number of pages6
JournalJournal of neurosurgery
Issue number4
StatePublished - Apr 1 2009



  • Enucleation
  • History
  • Total resection
  • Vestibular schwannoma

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

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