Suboccipital Approach for Vestibular Schwannoma(<SPECIAL ISSUE>Treatment of Vestibular Schwannoma)

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  • 聴神経鞘腫に対する後頭下アプローチ : 解剖と画像所見に基づいた手術手技(<特集>聴神経腫瘍の治療)

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The aim of vestibular schwannoma surgery for neurosurgeons in the gamma knife era is total tumor removal without any neurological deterioration. We describe anatomical landmarks such as the emissary vein, subarcuate artery, endolymphatic sac, vestibular aqueduct, common crus, jugular bulb, and cochlear aqueduct and the related surgical techniques. The suboccipital approach is one of the most fundamental surgical approaches used in neurosurgery and should always be revised based on recent neuroimaging studies and anatomical knowledge.

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