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  • 1
    Electronic Resource
    Electronic Resource
    Aetiology of Delayed Facial Palsy after Vestibular Schwannoma Surgery: Clinical Data and Hypothesis (1998)
    Springer
    Acta neurochirurgica 140 (1998), S. 913-917 
    Details
    ISSN: 0942-0940
    Keywords: Keywords: Delayed facial palsy; herpes simplex virus; magnetic resonance image; vestibular schwannoma.
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary  A patient developed delayed facial nerve palsy at the level of House-Brackmann grade I to grade III 10 days after vestibular schwannoma surgery by the suboccipital transmeatal approach. The palsy had completely recovered after one month. Immunological study showed reactivation of herpes simplex and magnetic resonance (MR) imaging demonstrated an abnormal enhancement pattern of the facial nerve; intense enhancement of the distal intracanalicular segment and labyrinthine segment, similar to the MR findings for Bell's palsy. A prospective control study on the enhancement pattern of the functionally preserved facial nerve after vestibular schwannoma surgery in six cases showed a similar pattern to that of the normal facial nerve. Based on these findings, we propose the hypothesis that herpes simplex reactivation is an underlying cause of delayed facial palsy after vestibular schwannoma surgery.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s007010050193
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    Paper (German National Licenses)
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  • 2
    Electronic Resource
    Electronic Resource
    Contralateral Approach to Carotid Cave Aneurysms (2000)
    Springer
    Acta neurochirurgica 142 (2000), S. 33-37 
    Details
    ISSN: 0942-0940
    Keywords: Keywords: Carotid cave; intracranial aneurysms; surgical approach; contralateral approach.
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary ¶ Background. To evaluate the surgical approach and clipping of aneurysms located at the carotid cave region.  Method. Between 1980 and 1998 we have adopted the well known ipsilateral approach for exposure and securing of carotid cave aneurysms. In four patients, we had the opportunity to use a contralateral approach to carotid cave aneurysms, with easier dissection and application of a simple aneurysmal clip. The visual acuity of the patients did not deteriorate from the pre-operative level.  Finding and Interpretation. Aneurysms located at the carotid cave region may be approached easily and safely through a contralateral craniotomy with application of the aneurysm clip from an angle medial and inferior to the optic nerve.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s007010050004
    Library Location Call Number Volume/Issue/Year Availability
    BibTip Others were also interested in ...
    Paper (German National Licenses)
    Fulltext
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