Prof. Eduard ZVERINACzech Republic
Department of ENT, Head and Neck Surgery, 1st Medical Faculty, Charles University Faculty Hospital Motol
| 1997 to present | Prof. of neurosurgery in Dept. of ENT, Head and Neck Surgery and in Dept. of Neurosurgery |
| 2011 to present | Fellow of the Czech Medical Academy (FCMA) |
| 1994 - 1997 | Chairman of the Dept. of Neurosurgery at the 1st Faculty of Medicine, Charles University, Prague |
Neurosurgery, Microsurgery, Skull base surgery, Neuroscience
Born in Prague in 1937. Professor of Neurosurgery, Emeritus Chairman of the Department of Neurosurgery at the 1st Faculty of Medicine of the Charles University in Prague. Since 2011 title of FCMA, Fellow of the Czech Medical Academy, the highest medical title in the Czech Republic. Member of the World Federation of Neurosurgical Societies (WFNS) since 1968, member of the Skull Base Surgery Committee of WFNS since 2005. The World Federation of Skull Base Societies (WFSBS), co-founder in Hannover 1992. Co-founder of the European Association of Neurosurgical Societies (EANS) in Prague in 1971. The Central European Neurosurgical Society (CENS), co-founder 1999, at present scientific secretary, former president and honorary member. Delegate for the WFNS. He has dedicated 64 years to neurosurgery and neuroscience. Like G. Yasargil and M. Samii , E. Zverina in Czechoslovakia introduced intra-operative nerve monitoring, microsurgical technique and skull base surgery into all fields of neurosurgery. He has operated radically more than 1000 vestibular schwannomas
Vestibular schwannoma: Optimal treatment
1108 08:10-08:20
Skull Base/304A
Title. Vestibular Schwanoma. Optimal treatment
Introduction.
The aim of the work was to propose an optimal treatment.
Methods.
We used all available methods: Observation (wait and scan), Stereotactic Radiosurgery (SRS, Leksell gamma knife (LGN) 1992), microsurgery 1974, endoscopy assisted microsurgery 2005, 3D exoscopic surgery 2021, all approaches with opening of internal meatus, all methods of monitoring n. VII, n. VIII, first auditory brainstem implant 2000, all methods of reconstruction n. VII.
Results.
We operated and monitored more than 1000 mostly large VS, without surgery several hundred mostly small VS. Most of the operated patients were permanently cured returning to full social activity. Complications mostly after giant VS such as lesions n.VII, n. VIII., recurrences and mortality rates were in the single digits %.
Conclusion.
The treatment of VS must be in a special skull base clinic with ENT and neurosurgical cooperation, must be individual. Patients can be divided into 2 groups. In young patients the VS should be radically removed before the growing tumor destroys hearing. In the elderly, VS tends to be small and does not grow. VS just needs to be only monitored. LGN is not indicated in the treatment of VS. The results of LGN treatment are just the results of the natural behavior of the non-growing VS. LGN leads to gradual deterioration of hearing. The TLB approach always leads to hearing destruction. We prefer the RS approach. All patients should return to full social activity.