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Published in: Acta Neurochirurgica 3/2016

01-03-2016 | Technical Note - Brain Tumors

Identification of cranial nerves around trigeminal schwannomas using diffusion tensor tractography: a technical note and report of 3 cases

Authors: Peng-Hu Wei, Zhi-Gang Qi, Ge Chen, Ming-Chu Li, Jian-Tao Liang, Hong-Chuan Guo, Yu-Hai Bao, Qiang Hao

Published in: Acta Neurochirurgica | Issue 3/2016

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Abstract

Background

There are no large series studies identifying the locations of cranial nerves (CNs) around trigeminal schwannomas (TSs); however, surgically induced cranial neuropathies are commonly observed after surgeries to remove TSs. In this study, we preoperatively identified the location of CNs near TSs using diffusion tensor tractography (DTT).

Methods

An observational study of the DTT results and intraoperative findings was performed. We preoperatively completed tractography from images of patients with TSs who received surgical therapy. The result was later validated during tumorectomy.

Results

A total of three consecutive patients were involved in this study. The locations of CNs V-VIII in relation to the tumor was clearly revealed in all cases, except for CN VI in case 3.The predicted fiber tracts were in agreement with intraoperative observations.

Conclusions

In this study, preoperative DTT accurately predicted the location of the majority of the nerves of interest. This technique can be applied by surgeons to preoperatively visualize nerve arrangements.
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Metadata
Title
Identification of cranial nerves around trigeminal schwannomas using diffusion tensor tractography: a technical note and report of 3 cases
Authors
Peng-Hu Wei
Zhi-Gang Qi
Ge Chen
Ming-Chu Li
Jian-Tao Liang
Hong-Chuan Guo
Yu-Hai Bao
Qiang Hao
Publication date
01-03-2016
Publisher
Springer Vienna
Published in
Acta Neurochirurgica / Issue 3/2016
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI
https://doi.org/10.1007/s00701-015-2680-5

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