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  • Title: [Neurinomas and neurofibromas of the jugular foramen: diagnosis and surgical treatment].
    Author: Konovalov AN, Makhmudov UB, Sidorkin DV, Shamanskiĭ VN, Taniashin SV, Dobrovol'skiĭ GF, Grigorian AA.
    Journal: Zh Vopr Neirokhir Im N N Burdenko; 2003; (1):7-15. PubMed ID: 12710257.
    Abstract:
    The paper analyzes the authors' experience in treating 16 patients with neurinomas and neurofibromas of the jugular foramen. A tumor was located intracranially (Type A) in 1 case, at the level of the base of the skull (Type B) in 7 cases, extracranially (type C) in 3 cases, and extra- and intracranially (Type D) in 5. All the patients were operated on. One-stage removal was performed in 15 patients, in 1 case a tumor was removed in 2 steps. By taking into account differences in the site of the tumors, the authors used the following accesses: retrosigmoid, supracondyllar, extreme lateral transcondylar, retroauricular transtemporal, extended retroauricular transtemporal, lateral cervical. While planning accesses, it is necessary to bear in mind not only the direction of growth of these tumors, but also the pathways of collateral venous blood flow.
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