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Vestibular Schwannoma.
In: Adult CNS Radiation Oncology. 2024. 59-70 (Adult CNS Radiation Oncology: Principles and Practice: Second Edition)
Vestibular schwannoma (VS) or acoustic neuromas are benign tumors arising from the vestibular branch of the vestibulocochlear nerve. VS is derived from Schwann cells normally wrapping around the supporting nerve fibers. All functions of the facial and vestibulocochlear brain nerves may be affected when this tumorous lesion is growing in the tight internal auditory meatus. Typical symptoms of vestibular schwannomas are hearing impairment, gait disturbances, dizziness, and tinnitus, which reduce the quality of life of patients. Treatment options include conservative management, microsurgery, stereotactic radiosurgery, hypofractionated stereotactic radiotherapy, and fractionated stereotactic radiotherapy. This chapter provides detailed information about VS and its types, epidemiological factors, pathogenesis, risk factors, diagnosis, staging, prognosis, and treatment strategies. Predictive factors and long-term outcomes of different methods of vestibular schwannoma management are described. Different treatment strategies are explained and compared with the main focus on radiotherapeutic approaches. A detailed insight into treatment planning of VS radiotherapy is given. At the end of this chapter, a case report highlighting the use of fractionated radiotherapy in a patient with VS is presented.
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Publication type
Article: Periodical or book chapter
Keywords
Acoustic Neuroma ; Clinical Results ; Imaging Techniques ; Microsurgery ; Radiogenic Side Effects ; Radiosurgery ; Radiotherapy ; Stereotactic Fractionated Radiotherapy ; Surgery ; Vestibular Schwannoma ; Wait-and-see Strategy
ISSN (print) / ISBN
[9783031678783, 9783031678776]
Book Volume Title
Adult CNS Radiation Oncology
Conference Title
Adult CNS Radiation Oncology: Principles and Practice: Second Edition
Quellenangaben
Pages: 59-70
Institute(s)
Institute of Radiation Medicine (IRM)