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Erschienen in: Journal of Neuro-Oncology 1/2017

17.10.2016 | Clinical Study

Stereotactic radiosurgery for non-vestibular cranial nerve schwanommas

verfasst von: Myreille D’Astous, Allen L. Ho, Arjun Pendharkar, Clara Y. H. Choi, Scott G. Soltys, Iris C. Gibbs, Armine T. Tayag, Patricia A. Thompson, John R. Adler, Steven D. Chang

Erschienen in: Journal of Neuro-Oncology | Ausgabe 1/2017

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Abstract

Non-vestibular cranial nerve schwannomas (NVCNS) are rare lesions, representing <10 % of cranial nerve schwannomas. The optimal treatment for NVCNS is often derived from vestibular schwannomas experience. Surgical resection has been referred to as the first line treatment for those benign tumors, but significant complication rates are reported. Stereotactic radiosurgery (SRS) has arisen as a mainstay of treatment for many benign tumors, including schwanommas. We retrospectively reviewed the outcomes of NVCNS treated by SRS to characterize tumor control, symptom relief, toxicity, and the role of hypo-fractionation of SRS dose. Eighty-eight (88) patients, with ninety-five (95) NVCNS were treated with either single or multi-session SRS from 2001 to 2014. Local control was achieved in 94 % of patients treated (median follow-up of 33 months, range 1–155). Complications were seen in 7.4 % of cases treated with SRS. At 1-year, 57 % of patients had improvement or resolution of their symptoms, while 35 % were stable and 8 % had worsening or increased symptoms. While 42 % received only one session, results on local control were similar for one or multiple sessions (p = 0.424). SRS for NVCNS is a treatment modality that provides excellent local control with minimal complication risk compared to traditional neurosurgical techniques. Tumor control obtained with a multi-session treatment was not significantly different from single session treatment. Safety profile was also comparable for uni or multi-session treatments. We concluded that, as seen in VS treated with CK SRS, radiosurgery treatment can be safely delivered in cases of NVCNS.
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Metadaten
Titel
Stereotactic radiosurgery for non-vestibular cranial nerve schwanommas
verfasst von
Myreille D’Astous
Allen L. Ho
Arjun Pendharkar
Clara Y. H. Choi
Scott G. Soltys
Iris C. Gibbs
Armine T. Tayag
Patricia A. Thompson
John R. Adler
Steven D. Chang
Publikationsdatum
17.10.2016
Verlag
Springer US
Erschienen in
Journal of Neuro-Oncology / Ausgabe 1/2017
Print ISSN: 0167-594X
Elektronische ISSN: 1573-7373
DOI
https://doi.org/10.1007/s11060-016-2286-7

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