Management of non-vestibular schwannomas in adult patients: a systematic review and consensus statement on behalf of the EANS skull base ... View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2021-12-02

AUTHORS

Jarnail Bal, Michael Bruneau, Moncef Berhouma, Jan F. Cornelius, Luigi M. Cavallo, Roy T. Daniel, Sebastien Froelich, Emmanuel Jouanneau, Torstein R. Meling, Mahmoud Messerer, Pierre-Hugues Roche, Henry Schroeder, Marcos Tatagiba, Idoya Zazpe, Dimitrios Paraskevopoulos

ABSTRACT

BackgroundNon-vestibular schwannomas are relatively rare, with trigeminal and jugular foramen schwannomas being the most common. This is a heterogenous group which requires detailed investigation and careful consideration to management strategy. The optimal management for these tumours remains unclear, and there are several controversies. The aim of this paper is to provide insight into the main principles defining management and surgical strategy, in order to formulate a series of recommendations.MethodsA task force was created by the EANS skull base section committee along with its members and other renowned experts in the field to generate recommendations for the surgical management of these tumours on a European perspective. To achieve this, the task force performed an extensive systematic review in this field and had discussions within the group. This article is the third of a three-part series describing non-vestibular schwannomas (IX, X, XI, XII).ResultsA summary of literature evidence was proposed after discussion within the EANS skull base section. The constituted task force dealt with the practice patterns that exist with respect to preoperative radiological investigations, ophthalmological assessments, optimal surgical and radiotherapy strategies and follow-up management.ConclusionThis article represents the consensually derived opinion of the task force with respect to the treatment of non-vestibular schwannomas. For each of these tumours, the management paradigm is shifting towards the compromise between function preservation and progression free survival. More... »

PAGES

321-329

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00701-021-05072-y

DOI

http://dx.doi.org/10.1007/s00701-021-05072-y

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1143546188

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/34854994


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21 schema:description BackgroundNon-vestibular schwannomas are relatively rare, with trigeminal and jugular foramen schwannomas being the most common. This is a heterogenous group which requires detailed investigation and careful consideration to management strategy. The optimal management for these tumours remains unclear, and there are several controversies. The aim of this paper is to provide insight into the main principles defining management and surgical strategy, in order to formulate a series of recommendations.MethodsA task force was created by the EANS skull base section committee along with its members and other renowned experts in the field to generate recommendations for the surgical management of these tumours on a European perspective. To achieve this, the task force performed an extensive systematic review in this field and had discussions within the group. This article is the third of a three-part series describing non-vestibular schwannomas (IX, X, XI, XII).ResultsA summary of literature evidence was proposed after discussion within the EANS skull base section. The constituted task force dealt with the practice patterns that exist with respect to preoperative radiological investigations, ophthalmological assessments, optimal surgical and radiotherapy strategies and follow-up management.ConclusionThis article represents the consensually derived opinion of the task force with respect to the treatment of non-vestibular schwannomas. For each of these tumours, the management paradigm is shifting towards the compromise between function preservation and progression free survival.
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29 ConclusionThis article
30 EANS skull base section
31 European perspective
32 MethodsA task force
33 Part III
34 ResultsA summary
35 Section Committee
36 Task Force
37 adult patients
38 aim
39 article
40 assessment
41 base section
42 behalf
43 careful consideration
44 compromise
45 consensus statement
46 consideration
47 controversy
48 cranial nerve schwannomas
49 detailed investigation
50 discussion
51 evidence
52 experts
53 extensive systematic review
54 field
55 foramen
56 force
57 free survival
58 function preservation
59 group
60 heterogenous group
61 hypoglossal schwannoma
62 insights
63 investigation
64 jugular foramen
65 jugular foramen schwannomas
66 literature evidence
67 lower cranial nerve schwannomas
68 main principles
69 management
70 management paradigm
71 management strategies
72 members
73 nerve schwannoma
74 non-vestibular schwannomas
75 ophthalmological assessment
76 opinion
77 optimal management
78 order
79 paper
80 paradigm
81 patients
82 patterns
83 perspective
84 practice patterns
85 preoperative radiological investigations
86 preservation
87 principles
88 progression-free survival
89 radiological investigations
90 radiotherapy strategies
91 recommendations
92 renowned experts
93 respect
94 review
95 schwannoma
96 sections
97 series
98 series of recommendations
99 statements
100 strategies
101 summary
102 surgical management
103 surgical strategy
104 survival
105 systematic review
106 three-part series
107 treatment
108 tumors
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