Role of surgery in vestibular schwannoma following prior stereotactic radiosurgery
Document Type
Article
Department
Neurosurgery
Abstract
Stereotactic radiosurgery (SRS) is widely used for treating vestibular schwannoma (VS), offering high tumour control rates, especially in small to medium-sized tumours. However, a subset of patients experiences SRS failure, requiring subsequent salvage microsurgery (MS). The primary reason for salvage surgery is continued tumour growth, but other causes include symptom progression and cystic enlargement. Salvage surgery is more challenging due to increased tumour adhesion to critical structures, resulting in higher complication rates, particularly for facial nerve preservation. Studies suggest subtotal resection may offer better outcomes than gross total resection in terms of facial nerve function, though treatment remains complex and outcomes vary.
Publication (Name of Journal)
Journal of the Pakistan Medical Association
DOI
10.47391/JPMA.24-84
Recommended Citation
Javed, Z.,
Shamim, M.
(2024). Role of surgery in vestibular schwannoma following prior stereotactic radiosurgery. Journal of the Pakistan Medical Association, 74(10), 1888-1891.
Available at:
https://ecommons.aku.edu/pakistan_fhs_mc_surg_neurosurg/403