{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T08:56:25Z","timestamp":1793350585658,"version":"4.5.0"},"reference-count":18,"publisher":"Georg Thieme Verlag KG","issue":"03","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Neurol Surg B Skull Base"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Introduction\u2003Trigeminal schwannoma surgery has shown a remarkable improvement in functional recovery and tumor resection. In the era of radiosurgery, these outcomes need to be characterized for tumors which are outside the realm of being treated with radiosurgery. We present a series of trigeminal schwannomas larger than 3\u2009cm, surgical approaches used, and outcomes with an emphasis on functional recovery in a high-volume center with radiosurgery facilities.<\/jats:p>\n                  <jats:p>Method\u2003All consecutive cases of trigeminal schwannoma from January 2012 to May 2021 which were more than 3\u2009cm in size and underwent microsurgery were included in this series. The surgical approach, neurological outcomes, and extent of resection were defined objectively with pre\/postoperative magnetic resonance imaging.<\/jats:p>\n                  <jats:p>Results\u2003A total of 83 such cases (&gt;3\u2009cm) were found, with cranial nerve symptoms (5th most common) being the commonest. Twenty three percent cases had blindness due to secondary optic atrophy and eighteen percent had long tract motor symptoms signifying the tumor burden in our series. Radiological gross total excision was achieved in 75.9% cases.<\/jats:p>\n                  <jats:p>Conclusion\u2003Large-volume schwannomas present with cranial nerve involvement and may need extensive skull base approaches. Functional outcomes need to be prioritized and can be achieved albeit with lesser gross resection rates. Hearing and facial preservation in addition to relief of trigeminal symptoms should be the goal of resection with minimal additional morbidity.<\/jats:p>","DOI":"10.1055\/s-0043-1768443","type":"journal-article","created":{"date-parts":[[2023,5,17]],"date-time":"2023-05-17T18:52:45Z","timestamp":1684349565000},"page":"267-286","source":"Crossref","is-referenced-by-count":3,"title":["Surgical Management of Large (\u22653\u2009cm) Trigeminal Schwannomas: Functional Outcomes and Approach Selection in Multicompartmental Schwannomas"],"prefix":"10.1055","volume":"85","author":[{"given":"Srinivas","family":"Dwarakanath","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, NIMHANS, Bangalore, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3247-1117","authenticated-orcid":false,"given":"Harsh","family":"Deora","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, NIMHANS, Bangalore, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarthak","family":"Mehta","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, NIMHANS, Bangalore, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7613-1929","authenticated-orcid":false,"given":"Dhaval","family":"Shukla","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, NIMHANS, Bangalore, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arivazhagan","family":"A.","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, NIMHANS, Bangalore, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"KVLN","family":"Rao","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, NIMHANS, Bangalore, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sampath","family":"Somanna","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, NIMHANS, Bangalore, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2023,5,17]]},"reference":[{"issue":"03","key":"ref1","doi-asserted-by":"crossref","first-page":"215","DOI":"10.4103\/2229-5178.101826","article-title":"Learning from eponyms: Jose Verocay and Verocay bodies, Antoni A and B areas, Nils Antoni and Schwannomas","volume":"3","author":"R Joshi","year":"2012","journal-title":"Indian Dermatol Online J"},{"issue":"02","key":"ref2","doi-asserted-by":"crossref","first-page":"258","DOI":"10.4103\/jnrp.jnrp_469_17","article-title":"Rare cranial nerve schwannomas: a retrospective review of nontrigeminal, nonvestibular cranial nerve schwannomas","volume":"9","author":"H Deora","year":"2018","journal-title":"J Neurosci Rural Pract"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1093\/neurosurgery\/1.CN_suppl_1.11","article-title":"The trigeminal neurinomas with some remarks on malignant invasion of the Gasserian ganglion","volume":"1","author":"G Jefferson","year":"1953","journal-title":"Clin Neurosurg"},{"issue":"05","key":"ref4","doi-asserted-by":"crossref","first-page":"711","DOI":"10.3171\/jns.1995.82.5.0711","article-title":"Surgical treatment of trigeminal schwannomas","volume":"82","author":"M Samii","year":"1995","journal-title":"J Neurosurg"},{"issue":"02","key":"ref5","doi-asserted-by":"crossref","first-page":"202","DOI":"10.3171\/jns.1999.91.2.0202","article-title":"Trigeminal neurinomas extending into multiple fossae: surgical methods and review of the literature","volume":"91","author":"K Yoshida","year":"1999","journal-title":"J Neurosurg"},{"issue":"06","key":"ref6","doi-asserted-by":"crossref","first-page":"E6","DOI":"10.3171\/FOC.2008.25.12.E6","article-title":"Surgical management of trigeminal schwannomas","volume":"25","author":"R Ramina","year":"2008","journal-title":"Neurosurg Focus"},{"issue":"09","key":"ref8","doi-asserted-by":"crossref","first-page":"1027","DOI":"10.1007\/BF01412304","article-title":"Trigeminal neurinomas. 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