Removal of Koos IV acoustic neuroma and auditory brainstem implant in NF2 patient

Author:

Scala Maria Rosaria1,Spennato Pietro1,Volpe Antonio Della2,Santoro Claudia34,Picariello Stefania3,Varricchio Alfonso Maria2,Ruggiero Claudio1,dé Santi Serena1,Cinalli Giuseppe1

Affiliation:

1. Department of Pediatric Neurosurgery and

2. Otology and Cochlear Implant Unit, Santobono-Pausilipon Children’s Hospital, Naples;

3. Neurofibromatosis Referral Centre, Department of Woman, Child and General and Specialized Surgery, University of Campania “Luigi Vanvitelli,” Naples; and

4. Departments of Physical and Mental Health, and Preventive Medicine, University of Campania “Luigi Vanvitelli,” Naples, Italy

Abstract

The authors present the case of removal of a Koos grade IV right acoustic neuroma in a neurofibromatosis type 2 (NF2) patient, already operated on for left cerebellopontine angle meningioma at 7 years of age and a left acoustic neuroma at 16 years of age. A transpetrosal approach allowed cochlear sensor implantation to detect residual hearing. An enlarged retrosigmoid approach then allowed subtotal microsurgical removal of the lesion; consequently, the authors illustrate the technical nuances of an auditory brainstem implant (ABI). One month after surgery, the ABI was successfully switched on, giving back hearing perception to the patient. The video can be found here: https://stream.cadmore.media/r10.3171/2021.7.FOCVID2188

Publisher

Journal of Neurosurgery Publishing Group (JNSPG)

Subject

General Medicine

Reference12 articles.

1. Auditory brainstem implantation for adults with neurofibromatosis 2 or severe inner ear abnormalities: a health technology assessment;Ont Health Technol Assess Ser,2020

2. Cochlear implantation and auditory brainstem implantation in neurofibromatosis type 2;Peng;Laryngoscope,2018

3. Cochlear implant outcomes following vestibular schwannoma resection: systematic review;Wick;Otol Neurotol,2020

4. Bevacizumab for NF2-associated vestibular schwannomas of childhood and adolescence;Renzi;Pediatr Blood Cancer,2020

5. Perioperative recording of cochlear implant evoked brain stem responses after removal of the intralabyrinthine portion of a vestibular schwannoma in a patient with NF2;Rahne;Otol Neurotol,2019

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1. Acoustic neuroma classification algorithm based on mask region convolution neural network;Journal of Radiation Research and Applied Sciences;2024-03

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