Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
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A Fatal Complication Associated with Combined Posterior Petrous and Suboccipital Approach to a Giant Jugular Foramen Schwannoma - A Case Report -

하후두부 접근법과 후경추체 접근법에 의한 거대 경정맥공 신경초종의 제거술과 동반된 합병증 - 증례보고 -

  • Koh, Sung-Bum (Department of Neurosurgery, Inje University Seoul Paik Hospital) ;
  • Koh, Young-Cho (Department of Neurosurgery, Inje University Seoul Paik Hospital) ;
  • Yoo, Heon (Department of Neurosurgery, Inje University Seoul Paik Hospital) ;
  • Park, Si-Young (Department of Otorhinolaryngology, Inje University Seoul Paik Hospital) ;
  • Park, Hyo-IL (Department of Neurosurgery, Inje University Seoul Paik Hospital)
  • 고성범 (인제대학교 의과대학 서울백병원 신경외과학교실) ;
  • 고영초 (인제대학교 의과대학 서울백병원 신경외과학교실) ;
  • 유헌 (인제대학교 의과대학 서울백병원 신경외과학교실) ;
  • 박시영 (인제대학교 의과대학 서울백병원 이비인후과학교실) ;
  • 박효일 (인제대학교 의과대학 서울백병원 신경외과학교실)
  • Received : 2001.05.30
  • Accepted : 2001.08.13
  • Published : 2001.09.28
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Abstract

Schwannomas of the jugular foramen, originating from the glossopharyngeal nerve, vagus and accessory nerve represent approximately 0.17-0.72% of all intracranial tumor, and consists of 1.4-2.9% of all intracranial schwannomas. The clinical presentation of these tumors varies significantly according to originated nerve and it's growth pattern. Magnetic resonance(MR) image and temporal bone computed tomography(CT) scan have a major role for diagnosis of such tumor. The treatment of choice is total resection whenever possible. Generally, suboccipital approach is sufficient for the removal of the tumor, but in case with large size, combination of resection of petrous part of temporal bone with or without transection of sigmoid sinus is may be necessory. We have recently experienced one case of giant jugular foramen schwannoma and postoperative fatal complication in a 34-year-old male who was treated with combined posterior petrous and suboccipital approach with transection of sigmoid sinus

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