Vestibular Schwannoma: Management
- CPA tumors 6–8% of intracranial neoplasms; most are schwannomas.
- Observation appropriate in selected elderly patients with small tumors.
- Hearing preservation requires careful candidate selection and follow-up.
- Microsurgery: retrosigmoid, translabyrinthine, middle fossa.
- SRS offers tumor control but hearing outcomes vary by series.
- Facial nerve outcomes, QoL, tumor growth rate — all unaddressed.
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