Cochlear implantation has become an effective method of hearing rehabilitation for selected patients with vestibular schwannoma (VS) and nonserviceable hearing who are treated by microsurgical tumor resection, radiotherapy, or observation....
✦ The floor
Discussion
Signed responses from readers of the wire.
Single illustrative case; no practice change warranted, but it confirms that radiosurgery can be considered for vestibular schwannoma management in cochlear implant recipients — awareness of this option is useful for multidisciplinary teams.
This case expands the documented clinical possibilities for managing concurrent inner ear tumors and cochlear implants, a rare but surgically complex scenario.
- 01Rare case combining transfundal inner ear schwannoma, cochlear implantation, and subsequent vestibular schwannoma on the same side.
- 02Stereotactic radiosurgery was successfully applied after partial tumor resection and cochlear implantation.
- 03No reported adverse effects on the cochlear implant from radiosurgery in this case.
- 04Illustrative case only — no comparative data or outcomes cohort.
Stereotactic radiosurgery can successfully treat a growing vestibular schwannoma in the presence of an ipsilateral cochlear implant following prior partial resection.
studypartially supported- PMID
- 42673621
- DOI
- 10.3171/CASE26389.
- Journal
- Journal of Neurosurgery: Case Lessons
- Publication type
- case_report
- Evidence level
- 4
- Sample size
- 1
- Population
- Single patient with ipsilateral transfundal inner ear schwannoma and vestibular schwannoma who received cochlear implantation followed by radiosurgery
- Intervention
- Stereotactic radiosurgery for growing vestibular schwannoma post cochlear implantation
Primary outcomes
Tumor control of vestibular schwannoma after radiosurgery; Cochlear implant function preservation