Trochlear schwannomas typically present with diplopia and are extremely rare benign intracranial neoplasms that require the combined expertise of neurotologists and neurosurgeons for surgical excision. A combined petrosal approach offers a surgical route for removal of growing and/or symptomatic tumors. A study of a trochlear nerve schwannoma that demonstrated rapid growth but was otherwise asymptomatic was presented in this study. Address correspondence and reprint requests to Anthony M. Tolisano, MD, Department of Otolaryngology-Head and Neck Surgery, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd, Dallas, TX 75390; E-mail: anthony.tolisano@utsouthwestern.edu Received 5 July, 2018 Accepted 16 October, 2018 The authors report no conflicts of interest. © 2019 by Mutaz B. Habal, MD.
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