Surgery of the Cerebellopontine Angle

Nicholas C. Bambakidis, MDChair of Neurological SurgeryVice President and DirectorThe Neurological InstituteUniversity Hospitals of ClevelandHarvey Huntington Brown, Jr., Endowed Chair of Neurological SurgeryProfessor, Neurological SurgeryCase Western Reserve University School of MedicineCleveland, OH, USA Cliff A. Megerian, MD, FACSChief Executive OfficerUniversity Hospitals Health SystemJane and Henry Meyer Distinguished CEO Endowed ChairProfessor of OtolaryngologyHead and Neck SurgeryProfessor of Neurological SurgeryCase Western Reserve University School of MedicineCleveland, OH, USA Robert F. Spetzler, MD, FACSEmeritus President and CEOEmeritus Chair, Department of NeurosurgeryBarrow Neurological InstitutePhoenix, AZ, USA

Part I. Foundations for Treatment.- Historical Perspectives.- Microsurgical Anatomy of the Cerebellopontine Angle and Its Suboccipital Retromastoid Approaches.- Radiology.- Neurology.- Part II. Surgical Approaches.- Approaches to the Cerebellopontine Angle.- Combined Surgical Approaches.- Functional Surgery of the Cerebellopontine Angle.- Endoscopy in the Cerebellopontine Angle.- Part III. Vestibular Schwannomas.- Biology and Genetics of Vestibular Schwannomas in Tumors of the Cerebellopontine Angle.- Treatment Options for Acoustic Neuroma, Including Stereotactic Radiosurgery.- Translabyrinthine Approach.- Hearing Rehabilitation Following Acoustic Neuroma Surgery.- Acoustic Neuroma Surgery: Retrosigmoid Techniques.- Acoustic Neuroma Surgery: The Middle Fossa Approach.- Complications and Cranial Nerve Rehabilitation.- Facial Reanimation.- Hearing and Surgical Considerations in Neurofibromatosis Type 2.- Prevention and Management of Postoperative Cerebrospinal Fluid Leakage.- Part IV. Nonschwannomatous Lesions of the CPA.- Temporal Bone Neoplasms.- Congenital Rest Lesions and Rare Tumors.- Vascular Lesions of the Cerebellopontine Angle.- Part V. Cases and Approaches (animations and videos).- Case 1: Retrosigmoid Approach for Vestibular Schwannoma.- Case 2: Combined Transpetrosal Approach with Hearing Preservations for Resection of a Meningioma.- Case 3: Far-Lateral Approach for a Foramen Magnum Meningioma.- Case 4: Resection of an Acoustic Schwannoma Complicated by Tumor Encasement of the Anterior Inferior Cerebellar Artery Using a Translabyrinthine Approach.- Case 5: Transcondylar Approach for Giant Aneurysm with Posterior Inferior Cerebellar Artery Bypass.- Case 6: Far-Lateral Approach for a Posterior Inferior Cerebellar Artery Aneurysm Clipping.- Case 7: Right Retrosigmoid Craniotomy for Microvascular Decompression for Trigeminal Neuralgia (Endoscope-Assisted).- Case 8: Right Retrosigmoid Craniotomy for Microvascular Decompression of Hemifacial Spasm.- Case 9: Left Retrosigmoid Craniotomy for Microvascular Decompression of Glossopharyngeal Neuralgia.- Case 10: Anterior Transpetrosal Approach for Resection of Petroclival Meningioma.- Case 11: Vestibular Schwannoma Resection with Facial Nerve Displaced Dorsally.- Case 12: Right Retrosigmoid Craniotomy for Pontine Cavernous Malformation.- Case 13: Lateral Transcondylar Craniotomy for PICA Aneurysm.- Case 14: Left Retrosigmoid Approach in Large Vestibular Schwannoma in Patient with NF2.- Case 15: Retrosigmoid Approach for a Left-sided Trigeminal Schwannoma.- Case 16: Retrosigmoid Approach to Right-sided Epidermoid Cyst.- Case 17: Translabrynthine Transtemporal Approach for Left Vestibular Schwannoma.- Case 18: Middle Cranial Fossa Craniotomy for a Left Petrous Apex Lesion.- Case 19: Extended Translabyrinthine Approach for Left-sided Vestibular Schwannoma.- Case 20: Right-sided Retrosigmoid Approach to Small Vestibular Schwannoma.- Case 21: Transotic Approach to Left-sided Jugular Paraganglioma/Glomus Tumor for Partial Debulking.- Appendix: Anatomic Dissection.