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DOI: 10.1055/s-2006-953517
Commentary “Surgical Management of PICA Aneurysm and Incidental Facial Nerve Schwannoma: Case Report”
Publication History
Publication Date:
28 December 2006 (online)
Bian and colleagues present an interesting case of coincidental ruptured PICA aneurysm and facial nerve schwannoma. The aneurysm was treated successfully with direct clipping, preserving the distal blood flow in PICA. The schwannoma was noticed during the dissection and successfully resected with minimal postoperative facial nerve dysfunction. The authors applied standard surgical techniques but demonstrated that the wide exposure of a skull base approach enables inspection of surrounding anatomy. Early detection of tumors like facial nerve schwannomas when they are still small can facilitate resection and lead to good surgical results. When the tumors are large, symptomatic, and further along in their progression, good surgical outcomes may be more difficult to achieve.