Comparative analysis of stereotactic radiosurgery and microsurgery for vestibular schwannoma: a clinical and radiological evaluation

To compare radiographic and clinical outcomes of vestibular schwannoma management using stereotactic radiosurgery (SRS) and microsurgical resection, with emphasis on paired pre- and post-treatment changes in tumor size and patient outcomes.

Until the full data are available, audiologists managing patients with vestibular schwannoma should continue to defer to treating neurotology/neurosurgery teams; this comparative study may eventually refine referral and counseling guidance but offers no immediate change to audiological practice.

Directly comparing radiosurgery with microsurgery for vestibular schwannoma using paired imaging and clinical outcomes could provide clearer evidence to guide multidisciplinary treatment decisions for a condition that frequently presents through audiology pathways.

1. 01Study directly compares stereotactic radiosurgery (SRS) vs. microsurgical resection for vestibular schwannoma.
2. 02Evaluation uses both radiographic (imaging) and clinical outcome measures with paired pre/post-treatment data.
3. 03Published in the Journal of Neuro-Oncology, indicating a multidisciplinary oncological framing.
4. 04Vestibular schwannomas are the most common tumor causing unilateral sensorineural hearing loss in adults.
5. 05Findings could influence referral patterns and patient counseling in audiology and ENT clinics.

PMID

42471537

DOI

10.1007/s11060-026-05707-z.

Journal

Journal of Neuro-Oncology

Publication type

research_article

Evidence level

3

Population

Patients diagnosed with vestibular schwannoma undergoing stereotactic radiosurgery or microsurgical resection

Intervention

Stereotactic radiosurgery (SRS)

Comparator

Microsurgical resection