Prevalence and Surgical Implications of Dural Enhancement at the Porus Acusticus in Vestibular Schwannomas

Conclusion Dural enhancement is present in approximately 10% of extracanalicular VS. Dural enhancement at the porus acusticus may represent hypervascularity, dural reaction, or infiltration, and portends increased tumor adherence and greater likelihood of subtotal resection to preserve facial nerve function. To our knowledge, this is the first series that reports the prevalence of this phenomenon in VS and the potential surgical implications. Recognition preoperatively may be valuable toward patient counseling.

http://oto.sagepub.com/cgi/content/abstract/155/6/1021?rss=1

Source: Otolaryngology - Head and Neck Surgery - November 30, 2016 Category: ENT & OMF Authors: Patel, N. S., Van Abel, K. M., Link, M. J., Driscoll, C. L. W., Van Gompel, J. J., Neff, B. A., Lane, J. I., Carlson, M. L. Tags: Otology and Neurotology Source Type: research