{"id":"fdf1a703-c880-493e-8f96-6ad32558d521","slug":"the-possibility-of-seeding-vestibular-schwannomas-through-surgery-limited-experience-with-two-cases","title":"The possibility of seeding vestibular schwannomas through surgery: Limited experience with two cases","authors":["Florian Roser","Florian Heinrich Ebner","Marco Skardelly"],"abstract":"Background: We present two exceptional cases of possible tumor seeding in benign vestibular schwannoma (VS) patients occurring years after initial microsurgical resection. Case Description: We retrospectively analyzed the surgical management, histology and documented the growth of new tumor occurrence in close vicinity of the original schwannomas by serial magnetic resonance imaging over a period of 10 years. None of the patients had stigmata of neurofibromatosis, making it a reasonable assumption that the second tumor was due to surgical seeding during the first surgery. Moreover, in the second case, a microsurgical re-exploration showed that the recurrent tumor did not show any adhesion or contact to the caudal cranial nerves as anticipated had this been a new cranial nerve schwannoma. Conclusions: Surgical seeding of VSs is a rare complication but can occur despite benign histology and generous irrigation during surgery.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/fdf1a703-c880-493e-8f96-6ad32558d521/featured/hero-1782420930230.png","publishDate":"2016-05-06T00:00:00.000Z","doi":"10.4103/2152-7806.181986","categories":["Neuro-oncology","Case Report"],"fullTextUrl":"http://surgicalneurologyint.com/wp-content/uploads/2016/05/6745/SNI-7-291.pdf"}