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Background: This study presents a comprehensive analysis of 135 cases of vestibular schwannoma (VS) treated between 2006 and 2022 at the National Institute of Neurology and Neurovascular Diseases in Bucharest, Romania. The investigation focuses on the clinical presentation, treatment outcomes, and demographic trends of VS patients, highlighting region-specific insights that fill critical gaps in Eastern European data. Methods: Patients were treated with either open surgery (93.3%) or gamma knife radiosurgery (6.6%). The study identifies predominant symptoms, including hearing impairment, facial palsy, and balance disorders, with variations observed across age and gender subgroups. Comorbidities such as hypertension and obesity were prevalent, and they influenced perioperative risks. Results: Post-treatment outcomes showed a significant correlation between clinical symptoms and treatment modalities, with a majority achieving favorable results. The findings emphasize the need for tailored approaches in VS management and underscore the importance of region-specific factors in influencing clinical outcomes. Conclusions: This study contributes to refining treatment strategies and improving healthcare delivery for VS patients in Romania and beyond.
Details
Software;
Radiosurgery;
Brain cancer;
Hay fever;
Demographics;
Gender;
Risk factors;
Hearing loss;
Blindness;
Surgical outcomes;
Python;
Localization;
Clinical outcomes;
Patients;
Otolaryngology;
Surgery;
Glasgow Coma Scale;
Tinnitus;
Neurology;
Age groups;
Tumors;
Radiation therapy;
Hydrocephalus;
Traumatic brain injury
; Milena-Monica Ilie 2 ; Razvan-Adrian Covache-Busuioc 1 ; Buica, Vlad 2 ; Luca-Andrei Glavan 2 ; Serban, Matei 1 ; Corlatescu, Antonio Daniel 2
; Crivoi, Carla 3 ; Radu Mircea Gorgan 4 1 Department of Neurosurgery, “Carol Davila” University of Medicine and Pharmacy, 020021 Bucharest, Romania;
2 Department of Neurosurgery, “Carol Davila” University of Medicine and Pharmacy, 020021 Bucharest, Romania;
3 Faculty of Mathematics and Computer Science, University of Bucharest, 050663 Bucharest, Romania;
4 Department of Neurosurgery, “Carol Davila” University of Medicine and Pharmacy, 020021 Bucharest, Romania;