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Dr. Gregory Lekovic MD, PhD, FAANS

Neurosurgeon

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Intra-operative photo from recent resection of tibial nerve schwannoma. Peripheral nerve tumors in NF2 can be a significant quality of life issue and can be completely removed with a very low risk of functional impairment. #NF2 #schwannoma #peripheralnerve
Intra-operative photo from recent resection of tibial nerve schwannoma. Peripheral nerve tumors in NF2 can be a significant quality of life issue and can be completely removed with a very low risk of functional impairment. #NF2 #schwannoma #peripheralnerve
The facial nerve origin at the brainstem is closer in proximity to the lower cranial nerves than to the origin of CNVIII. I prefer to expose the facial nerve with a supra-condylar approach in order to get this view. #hemifacialspasm #microvasculardecompression #neurosurgery
The modified orbito-zygomatic craniotomy - pictured here after reconstruction - allows an unobstructed view of the skull base from the posterior fossa (through the optico-carotid and oculomotor triangles) to the suprasellar cistern, lamina terminalis, and anterior communicating artery complex. It is one of the skull base approach "workhorses" which every skull base surgeon is well acquainted.#skullbasesurgery #aneursymclipping #houseinstitute
Facial nerve schwannomas cannot be removed without injuring the nerve. I recommend stereotactic radiosurgery for these tumors when they are growing by when facial nerve function is still intact. This strategy has an excellent success rate even in tumors that are predominantly extra-cranial, such as in the example illustrated here, treated with CyberKnife in five fractions of five Gy each.
I’m delighted that my description of STA-P3 bypass using a petrosal approach made the cover of Operative Neurosurgery. Kudos to Elyssa Siegel for her beautiful illustration!

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