• Umberto Battistin, Tanmoy Maiti, Mohammed S Elhammady, and Florian Roser.
• College of Medicine, Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai, United Arab Emirates.
• World Neurosurg. 2023 Mar 1; 171: e323e335e323-e335.

BackgroundTrigeminal schwannoma is an uncommon tumor in pediatric patients. Several surgical approaches have been described in the literature.MethodsThe case of an 11-year-old boy with a giant dumbbell-shaped trigeminal schwannoma removed through a 2-stage approach was presented with an intraoperative video. Using PubMed and Scopus, the literature on trigeminal schwannoma in pediatric patients was searched according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines.ResultsThe search strategy yielded 312 titles, of which 13 were included in the review. Cases of trigeminal schwannoma were described, with a highly variable clinical presentation and anatomical arrangement in cranial fossae. Two-stage approaches were reported, although most studies described single-stage approaches. Common postoperative outcomes were a range of disturbances of cranial nerve V.ConclusionsThe surgical approach varies based on the tumor conformation. However, a 2-stage pterional subtemporal and semisitting retrosigmoid approach is a safe, practical, and effective strategy for the removal of dumbbell-shaped trigeminal schwannoma in a pediatric patient.Copyright © 2022 Elsevier Inc. All rights reserved.

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