Surgical Outcomes in Cerebellopontine Angle Tumors: A Retrospective Analysis of 30 Cases
Introduction: Cerebellopontine angle (CPA) tumors present unique challenges due to their complex anatomy and proximity to critical neurovascular structures. This study aimed to analyze the clinical, demographic, and radiological characteristics of CPA tumors, identify pathological types, assess sur...
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| Format: | Article |
| Language: | Bulgarian |
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Bulgarian Society of Neurology
2025-06-01
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| Series: | Българска неврология |
| Online Access: | https://www.nevrologiabg.com/journal/index.php/neurology/article/view/184 |
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| author | Aravind Verma Kalpesh Shah Jaimin Modh Dharmik Velani Krushi Soladhara Renish Padshala MD Nazar Imam |
| author_facet | Aravind Verma Kalpesh Shah Jaimin Modh Dharmik Velani Krushi Soladhara Renish Padshala MD Nazar Imam |
| author_sort | Aravind Verma |
| collection | DOAJ |
| description |
Introduction: Cerebellopontine angle (CPA) tumors present unique challenges due to their complex anatomy and proximity to critical neurovascular structures. This study aimed to analyze the clinical, demographic, and radiological characteristics of CPA tumors, identify pathological types, assess surgical resectability, and evaluate postoperative outcomes.
Methods: We conducted a retrospective analysis of 30 patients who underwent surgical intervention via the retrosigmoid suboccipital approach for CPA tumors at Sadar Vallabh Patel Medical College, Ahmedabad, between May 2021 and May 2024.
Results: Vestibular schwannomas constituted the majority (73.3%) of tumors, with most cases presenting in the third to sixth decades of life. Common symptoms included sensorineural hearing loss (83.3%), tinnitus (70%), vertigo (56.6%), headache (30%), and gait disturbance (33.3%). Total tumor resection was achieved in 76.6% of cases, with facial nerve preservation in 86.7% [5]. Postoperative complications included CSF leak (20%), meningitis (10%), hematoma (10%), residual tumor (23.3%), facial nerve paresis (13.3%), and one death (3.3%).
Conclusion: The retrosigmoid approach remains a valuable technique for CPA tumor management. Our findings emphasize the importance of individualized surgical planning, careful preoperative assessment, and comprehensive postoperative care to optimize patient outcomes
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| format | Article |
| id | doaj-art-45154e4aa0b64c8f96fa768eb3576f86 |
| institution | Kabale University |
| issn | 1311-8641 2815-2522 |
| language | Bulgarian |
| publishDate | 2025-06-01 |
| publisher | Bulgarian Society of Neurology |
| record_format | Article |
| series | Българска неврология |
| spelling | doaj-art-45154e4aa0b64c8f96fa768eb3576f862025-08-20T04:02:41ZbulBulgarian Society of NeurologyБългарска неврология1311-86412815-25222025-06-0126110.5281/zenodo.16883959Surgical Outcomes in Cerebellopontine Angle Tumors: A Retrospective Analysis of 30 CasesAravind Verma0Kalpesh Shah1Jaimin Modh2Dharmik Velani3Krushi Soladhara4Renish Padshala5MD Nazar Imam6Smt NHL Municipal Medical College & Sardar Vallabhbhai Patel Institute of Medical Sciences and Research, Ahmedabad, Gujarat, IndiaSmt NHL Municipal Medical College & Sardar Vallabhbhai Patel Institute of Medical Sciences and Research, Ahmedabad, Gujarat, IndiaSmt NHL Municipal Medical College & Sardar Vallabhbhai Patel Institute of Medical Sciences and Research, Ahmedabad, Gujarat, IndiaSmt NHL Municipal Medical College & Sardar Vallabhbhai Patel Institute of Medical Sciences and Research, Ahmedabad, Gujarat, IndiaSmt NHL Municipal Medical College & Sardar Vallabhbhai Patel Institute of Medical Sciences and Research, Ahmedabad, Gujarat, IndiaSmt NHL Municipal Medical College & Sardar Vallabhbhai Patel Institute of Medical Sciences and Research, Ahmedabad, Gujarat, IndiaSmt NHL Municipal Medical College & Sardar Vallabhbhai Patel Institute of Medical Sciences and Research, Ahmedabad, Gujarat, India Introduction: Cerebellopontine angle (CPA) tumors present unique challenges due to their complex anatomy and proximity to critical neurovascular structures. This study aimed to analyze the clinical, demographic, and radiological characteristics of CPA tumors, identify pathological types, assess surgical resectability, and evaluate postoperative outcomes. Methods: We conducted a retrospective analysis of 30 patients who underwent surgical intervention via the retrosigmoid suboccipital approach for CPA tumors at Sadar Vallabh Patel Medical College, Ahmedabad, between May 2021 and May 2024. Results: Vestibular schwannomas constituted the majority (73.3%) of tumors, with most cases presenting in the third to sixth decades of life. Common symptoms included sensorineural hearing loss (83.3%), tinnitus (70%), vertigo (56.6%), headache (30%), and gait disturbance (33.3%). Total tumor resection was achieved in 76.6% of cases, with facial nerve preservation in 86.7% [5]. Postoperative complications included CSF leak (20%), meningitis (10%), hematoma (10%), residual tumor (23.3%), facial nerve paresis (13.3%), and one death (3.3%). Conclusion: The retrosigmoid approach remains a valuable technique for CPA tumor management. Our findings emphasize the importance of individualized surgical planning, careful preoperative assessment, and comprehensive postoperative care to optimize patient outcomes https://www.nevrologiabg.com/journal/index.php/neurology/article/view/184 |
| spellingShingle | Aravind Verma Kalpesh Shah Jaimin Modh Dharmik Velani Krushi Soladhara Renish Padshala MD Nazar Imam Surgical Outcomes in Cerebellopontine Angle Tumors: A Retrospective Analysis of 30 Cases Българска неврология |
| title | Surgical Outcomes in Cerebellopontine Angle Tumors: A Retrospective Analysis of 30 Cases |
| title_full | Surgical Outcomes in Cerebellopontine Angle Tumors: A Retrospective Analysis of 30 Cases |
| title_fullStr | Surgical Outcomes in Cerebellopontine Angle Tumors: A Retrospective Analysis of 30 Cases |
| title_full_unstemmed | Surgical Outcomes in Cerebellopontine Angle Tumors: A Retrospective Analysis of 30 Cases |
| title_short | Surgical Outcomes in Cerebellopontine Angle Tumors: A Retrospective Analysis of 30 Cases |
| title_sort | surgical outcomes in cerebellopontine angle tumors a retrospective analysis of 30 cases |
| url | https://www.nevrologiabg.com/journal/index.php/neurology/article/view/184 |
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