Microsurgical Treatment of Vestibular Schwannoma with High Jugular Bulb: A Case Report

Gang Song, Liyong Sun, Jiantao Liang and Yuhai Bao

Department of Neurosurgery, Xuanwu Hospital, China

^*Correspondance to: Yuhai Bao 

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Abstract:

The retrosigmoid approach has been considered by neurosurgeons as the standard approach for the surgical management of vestibular schwannoma. However, few literatures have been focused on surgical treatment for the cases of vestibular schwannoma coexisted with high jugular bulb (HJB). Here we report our experience in dealing with such a case. A 37-year-old man presented with a 6-month-history of progressive tinnitus and hearing impairing on his right side. Magnetic resonance imaging (MRI) studies revealed a homogeneous enhanced tumor in the right cerebellopontine angle (CPA), with extension into the internal acoustic meatus (IAM). Thin layer computerized tomography (CT) with bone window demonstrated a HJB. By adopting special techniques to drill off the posterior wall of IAM and remove the tumor through “membrane dissection”, the tumor was completely resected with the preservation of HJB and facial nerve. The post-operative recovery was uneventfully. The details of the case are described in the following, with the attached surgical video.

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Cite the Article:

Song G, Sun L, Liang J, Bao Y. Microsurgical Treatment of Vestibular Schwannoma with High Jugular Bulb: A Case Report. Ann Clin Case Rep. 2016; 1: 1126.