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|Year : 2021 | Volume
| Issue : 3 | Page : 784-785
Vestibular Schwannomas: PGINS Monograph Series
Department of Neurosurgery, Chettinad Hospital and Research Institute, Chettinad Academy of Reseach and Education, Chennai, Tamil Nadu, India
|Date of Submission||21-Mar-2021|
|Date of Decision||21-Mar-2021|
|Date of Acceptance||21-Mar-2021|
|Date of Web Publication||24-Jun-2021|
Dr. V G Ramesh
Department of Neurosurgery, Chettinad Hospital and Research Institute, Chettinad Academy of Reseach and Education, Chennai, Tamil Nadu
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Ramesh V G. Vestibular Schwannomas: PGINS Monograph Series. Neurol India 2021;69:784-5
The 100th birthday of Prof. B. Ramamurthi, doyen of Indian Neurosurgery, was celebrated on the 30th January 2021. To commemorate this, as well as to highlight their Institutional experience with Vestibular Schwannomas, Vasudevan and Thamburaj have brought out this unique monograph. The monograph is unique in that the contributors mostly are those who have been trained in or closely associated with one of the great Neurosurgical Centres of this country, namely, the Dr. Achanta Lakshmipathi Neurosurgical Centre (ALNC), VHS Hospital, Chennai, which is the second Institute to be founded by Prof. Ramamurthi.
The foreword has been written by Prof. S. Kalyanaraman, who recalls his close association with Prof. Ramamurthi. The history of vestibular schwannoma (VS) is brought out in elaborate detail with the rare photographs of various scientists involved. The epidemiology and natural history of VS have been dealt with nicely with along with the role of prolonged exposure to loud sound and radiation exposure and cell phone usage in the pathogenesis of VS. The chapters on pathology, surgical anatomy, clinical features, imaging and differential diagnosis have been written in detail with the neurosurgical residents-in-training in mind. The electrophysiological tests and neurological tests have been presented in a very simplified manner. The chapter on bilateral vestibular schwannoma has elaborately dealt with molecular biology, genetics, management options and dilemmas of this challenging problem. The role of conservative management in VS with discussion on various predictors of growth rate does interesting reading. The various aspects of surgery including different surgical options, instrumentations and operation theatre setup, anaesthesia and intraoperative neuromonitoring, have been dealt with in an elaborate way. The retrosigmoid approach written by Dr. Vasudevan gives the step-by-step description of the surgery with the real practical aspects in minute detail and reflects the mastery of the author. This chapter seems to form the core of this monograph and will be very useful to the junior neurosurgeons in learning the nuances of vestibular schwannoma surgery. The chapter on transtemporal approach also is very elaborate and deals with the minute technical details of various transtemporal procedures. Neuroendoscopy in VS surgery and radiosurgery for VS have been dealt with appropriately. Another important aspect is the Nursing care in VS surgery which also has been given due emphasis. Complication avoidance at every step of VS surgery and management of complications is a very important aspect and the authors have done a great job. Rehabilitation in VS patients including facial nerve and auditory rehabilitation including auditory brainstem implants and physiotherapy are very comprehensively dealt with. The ALNC experience with 434 cases of VS from 1978 to 2019 has been summarized in the final chapter of this book.
This book is a comprehensive manual on VS with emphasis on Indian experience with this problem, which continues to be a neurosurgical challenge. Though there are a few flip sides like repetition of a few things like historical and anatomical aspects in various chapters, this monograph has a smooth flow of the thoughts on VS. One would also have expected a more elaborate presentation on the ALNC experience of VS, given the best case and followup record keeping available in this Institute. It would have given a more detailed insight into the Indian experience with VS during the various stages in the past four decades.
The quality of print, illustrations and photographs are of high quality. Overall, this book is a comprehensive presentation of VS, especially from the Indian standpoint. This will be definite reference guide for all neurosurgeons, especially the neurosurgical residents and should find a place in all departmental and institutional libraries.