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Vestibular Schwannoma (Acoustic Neuroma)

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Radiotherapy for Non-Malignant Disorders

Part of the book series: Medical Radiology ((Med Radiol Radiat Oncol))

Abstract

Vestibular schwannomas (VS) or acoustic neuromas are benign tumors arising from Schwann cells of the vestibular branch of the eighth cranial nerve. The tumor was first described 1910 by Henschen, who provided evidence that it originates from the Schwann cells. Nevertheless, the term acoustic neuroma was commonly used. The National Institute of Health decided in 1992 in a Consensus Development Conference: “The term vestibular schannoma is preferred over acoustic neuroma as these tumors are composed of Schwann cells and typically involve the vestibular rather than the acoustic division of the eighth cranial nerve.” Therefore, we will use the term of VS, although acoustic neuroma is still more common in the literature.

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References

  1. Andrews DW, Suarez O, Goldman W et al (2001) Stereotactic radiosurgery and fractionated stereotactic radiotherapy for the treatment of acoustic schwannomas: comparative observations of 125 patients treated at one institution. Int J Radiat Oncol Biol Phys 50:1265–1278

    PubMed  CAS  Google Scholar 

  2. Backlund EO (1979) Stereotactic radiosurgery in intracranial tumors and vascular malformations. Adv Tech Stand Neurosurg 6:3–37

    Google Scholar 

  3. Brackmann DE, Bartels LJ (1988) Rare tumors of the cerebellopontine angle. Otolaryngol Head Neck Surg 88:555–557

    Google Scholar 

  4. Brackmann DE, Kwartler JA (1990) A review of acoustic tumors: 1983-19Am J Otol 11:216–232

    PubMed  CAS  Google Scholar 

  5. Brackmann DE, Arriaga MA (1998) Extra-axial neoplasmas of the posterior fossa. In: Cummings CW, Fredrickson JM, Harker LA, Krause CJ, Richardson MA, Schuller DE (eds) Otolaryngology head and neck surgery, vol 4, 3rd edn. Mosby, St Louis, pp 3294–3314

    Google Scholar 

  6. Bailance CA (1907) Some points in the surgery of the brain and its membranes. Macmillan, London

    Google Scholar 

  7. Beck HJ, Beatty CW, Harner SG et al (1986) Acoustic neuromas with normal pure tone hearing levels. Otolaryngol Head Neck Surg 94:96–103

    PubMed  CAS  Google Scholar 

  8. Buchman CA, Chen DA, Flannagan P et al (1996) The learning curve for acoustic tumor surgery. Laryngoscope 106:1406–1411

    Article  PubMed  CAS  Google Scholar 

  9. Bush DA, McAllister CJ, Loredo LN et al (2002) Fractionated proton beam radiotherapy for acoustic neuroma. Neurosurgery 50:270–273

    Article  PubMed  Google Scholar 

  10. Charabi S, Thomsen J, Tos M et al (1998) Acoustic neuroma/vestibular schwannoma growth, past, present and future. Acta Otolaryngol 118:327–332

    Article  PubMed  CAS  Google Scholar 

  11. Charabi S, Tos M, Thomsen J et al (2000) Vestibular schwannoma growth: the continuing controversey. Laryngoscope 110:1720–1725

    Article  PubMed  CAS  Google Scholar 

  12. Cohen NL, Lewis WS, Ransohoff J (1993) Hearing preservation in cerebellopontine angle tumor surgery: the NYU experience 1974-19Am J Otol 14:423–433

    Article  PubMed  CAS  Google Scholar 

  13. Curati WL, Graif M, Kingsley DP et al (1986) Acoustic neuromas: Gd-DTPA enhancement in MR imaging. Radiology 158:447–451

    PubMed  CAS  Google Scholar 

  14. Dandy W (1922) An operation for the total extirpation of the tumors in the cerebellopontine angle. Bull John Hopkins Hosp 33:344

    Google Scholar 

  15. Daniels RL, Swallow C, Shelton C (2000) Causes of unilateral sensorineural hearing loss screened by high-resolution fast spin echo magnetic resonance imaging: review of 1,070 consecutive cases. Am J Otol 21:173–180

    Article  PubMed  CAS  Google Scholar 

  16. Duffner F, Becker G, Boldt R et al (1997) Five years of stereotactic radiosurgery at the University of Tübingen — a critical review of the method. Minim Invasive Neurosurg 40:117–120

    Article  PubMed  CAS  Google Scholar 

  17. Ebersold MJ, Harner SG, Beatty CW et al (1992) Current results of the retrosigmoid approach to acoustic neurinoma. J Neurosurg 76:901–909

    Article  PubMed  CAS  Google Scholar 

  18. Flickinger JC, Kondziolka D, Niranjan A et al (2001) Results of acoustic neuroma radiosurgery: an analysis of 5 years’ experience using current methods. J Neurosurg 94:1–6

    PubMed  CAS  Google Scholar 

  19. Flickinger JC (1999) Observation versus early stereotactic radiotherapy of acoustic neuroma: what are you waiting for? Int J Radiat Oncol Biol Phys 44:481–482

    Article  PubMed  CAS  Google Scholar 

  20. Flickinger JC (2002) What is the optimal dose and fractionation for stereotactic irradiation of acoustic neuromas? Int J Radiat Oncol Biol Phys 54:311–312

    Article  PubMed  Google Scholar 

  21. Foote RL, Coffey RJ, Swanson JW et al (1995) Stereo-tactic radiosurgery using the gamma knife for acoustic neuromas. Int J Radiat Oncol Biol Phys 32:1153–1160

    PubMed  CAS  Google Scholar 

  22. Foote KD, Friedman WA, Buatti JM, Meeks SL, Bova FJ, Kubilis PS (2001) Analysis of risk factors associated with radiosurgery for vestibular schwannoma. J Neurosurg 95:440–449

    PubMed  CAS  Google Scholar 

  23. Forster DMC, Kemeny AA, Pathak A et al (1996) Radiosurgery: a minimally interventional alternative to microsurgery in the management of acoustic neuroma. Br J Neurosurg 10:169–174

    Article  PubMed  CAS  Google Scholar 

  24. Frommeld T, Maurer J, Mann W (1998) Vestibular compensation and facial nerve function after acoustic neuroma removal according to the origin tumor from inferior to superior vestibular nerve. HNO 46:324–331

    Article  PubMed  CAS  Google Scholar 

  25. Fuss M, Debus J, Lohr F et al (2000) Conventionally fractionated stereotactic radiotherapy (FSRT) for acoustic neuromas. Int J Radiat Oncol Biol Phys 48:1381–1387

    Article  PubMed  CAS  Google Scholar 

  26. Fuss M, Salter BJ, Sadeghi A et al (2002) Fractionated stereotactic intensity-modulated radiotherapy (FS-IMRT) for small acoustic neuromas. Med Dosim 27:147–154

    Article  PubMed  Google Scholar 

  27. Gardner G, Robertson JH (1988) Hearing preservation in unilateral acoustic neuroma surgery. Ann Otol Rhinol Laryngol 97:55–66

    PubMed  CAS  Google Scholar 

  28. Gillman GS, Parnes LS (1995) Acoustic neuroma management: a 6-year review. J Otolaryngol 24:191–197

    PubMed  CAS  Google Scholar 

  29. Glasscock ME III, Hays JW, Minor LB et al (1993) Preservation of hearing in surgery for acoustic neuromas. J Neurosurg 78:864–870

    PubMed  Google Scholar 

  30. Gormley WB, Sekhar LN, Wright DC et al (1997) Acoustic neuromas: results of current surgical management. Neurosurgery 41:50–60

    Article  PubMed  CAS  Google Scholar 

  31. Grosu AL, Lachner R, Wiedenmann N et al (2003) Validation of a method for automatic fusion of CT-and C11-methionine-PET datasets of the brain for stereotactic radiotherapy using a LINAC. First clinical experience. Int J Radiation Oncology Biol Phys 56:1450–1463

    Article  Google Scholar 

  32. Guyot JP, Hausier R, Reverdin A et al (1992) Diagnosis of cerebellopontine angle tumors. ORL J Otorhinolaryngol Relat Spec 54:139–143

    PubMed  CAS  Google Scholar 

  33. Hardy DG, Macfarlane R, Baguley D et al (1989) Surgery for acoustic neurinoma. An analysis of 100 translabbyrinthine operations. J Neurosurg 71:799–804

    PubMed  CAS  Google Scholar 

  34. Harner SG, Laws ER Jr (1983) Clinical findings in patients with acoustic neurinoma. Mayo Clin Proc 58:721–728

    PubMed  CAS  Google Scholar 

  35. Hartmann GH, Schlegel W, Sturm V et al (1985) Cerebral radiation surgery using moving field irradiation at a linac facility. Int J Radiat Oncol Biol Phys 11:185–1192

    Google Scholar 

  36. House WF (1968) Acoustic neuroma. Case summaries. Arch Otolaryngol 88:586–591

    PubMed  CAS  Google Scholar 

  37. House WF, Hitselberger WE (1985) The neuro-oncologist’s view of the surgical management of acoustic neuromas. Clin Neurosurg 32:214–222

    PubMed  CAS  Google Scholar 

  38. Irving R, Moffat D, Hardy D et al (1993) Molecular genetic analysis of the mechanism of tumorgenesis in acoustic neuroma. Arch Otolaryngol Head Neck Surg 119:1222–1228

    PubMed  CAS  Google Scholar 

  39. Iwai Y, Yamanaka K, Ishiguro T et al (2003) Surgery combined with radiosurgery of large acoustic neuromas. Surg Neurol 59:283–291

    Article  PubMed  Google Scholar 

  40. Kalapurakal JA, Silverman CL, Akhtar N, Andrews DW, Downes B, Thomas PR (1999) Improved trigeminal and facial nerve tolerance following fractionated stereotactic radiotherapy for large acoustic neuromas. Br J Radiol 72(864):1202–1207

    PubMed  CAS  Google Scholar 

  41. Karpinos M, The BS, Zeck O et al (2002) Treatment of acoustic neuroma: stereotactic radiosurgery vs. microsurgery. Int J Radiation Oncology Biol Phys 54:1410–1421

    Google Scholar 

  42. Kobayashi T, Tanaka T, Kida Y (1994) The early effects of gamma knife on 40 cases of acoustic neurinoma. Acta Neurochir [Suppl] 62:93–97

    CAS  Google Scholar 

  43. Komatsuzaki A, Tsunoda A (2001) Nerve origin of the acoustic neuroma. J Laryngology Otol 115:376–379

    CAS  Google Scholar 

  44. Kondziolka D, Lunsford LD, McLaughlin MR et al (1998) Long-term outcomes after radiosurgery for acoustic neuromas. N Engl J Med 339:1426–1433

    Article  PubMed  CAS  Google Scholar 

  45. Lanman TH, Brackmann DE, Hitselberger WE et al (1999) Report of 190 consecutive cases of large acoustic tumors (vestibular schwannomas) removed via the translabyrinthine approach. J Neurosurg 90:617–623

    PubMed  CAS  Google Scholar 

  46. Lederman G, Wertheim S, Lowry J et al (1998) Acoustic neuromas treated by fractionated stereotactic radiotherapy. In: Kondziolka D (ed) Radiosurgery, vol 2, pp 25–30

    Google Scholar 

  47. Ling CC, Lo YC, Larson DA (1995) Radiobiophysical aspects of stereotaxic adiation treatment of central nervous system diseases. Semin Oncol 3:192–196

    Google Scholar 

  48. Lindquist C (1995) Gamma knife radiosurgery. Semin Radiat Oncol 5:197–202

    Article  PubMed  Google Scholar 

  49. Linskey ME, Martinez AJ, Kondziolka D et al (1993) The radiobiology of human acoustic schwannoma xenografs after stereotactic radiosurgery evaluation in the subrenal capsule of athymic mice. J Neurosurg 78:645–653

    PubMed  CAS  Google Scholar 

  50. Linskey ME (2000) Stereotactic radiosurgery versus stereotactic radiotherapy for patients with vestibular schwannoma: a Leksell Gamma Knife Society 2000 debate. J Neurosurg 93:90–95

    PubMed  Google Scholar 

  51. Lumenta CB, von Tempelhoff W, Hamacher J et al (1994) Experiences with evoked potentials monitoring during basal tumor surgery. In: Samii M (ed) Skull base surgery. Karger, Basel, pp 1174–1176

    Google Scholar 

  52. Lunsford LD, Kondziolka D, Flickinger JC et al (1998) Acoustic neuroma management: evolution and revolution. In: Kondziolka D (ed) Radiosurgery, vol Karger, Basel, pp 1–7

    Google Scholar 

  53. Lunsford D (2003) Commentary. Surg Neurol 59:283–291

    Article  Google Scholar 

  54. Maire JPh, Floquet A, Darrouzet V et al (1992) Fractionated radiation therapy in the treatment of stage III and IV cerebello-pontine angle neurinomas: preliminary results in 20 cases. Int J Radiation Oncology Biol Phys 23:147–152

    CAS  Google Scholar 

  55. Meijer OWM, Vandertop WP, Baayen JC et al (2003) Single-fraction vs. fractionated LINAC-based stereotactic radiosurgery for vestibular schwannoma: a single-institution study. Int J Radiat Oncol Biol Phys 56:1390–1396

    Article  PubMed  CAS  Google Scholar 

  56. Mendenhall WM, Friedman WA, Buatti JM et al (1996) Preliminary results of linear accelerator radiosurgery for acoustic schwannomas. J Neurosurg 85:1013–1019

    PubMed  CAS  Google Scholar 

  57. Mehta M, Noyes WR, Mackie TR (1995) Linear accelerator configuration for radiosurgery. Semin Radiat Oncol 5:203–212

    Article  PubMed  Google Scholar 

  58. Modugno GC, Pirodda A, Ferri GG et al (1999) Small acoustic neuromas: monitoring the growth rate by MRI. Acta Neurochir 141:1063–1067

    Article  CAS  Google Scholar 

  59. Moffat DA, Baguley DM, von Blumenthal H et al (1994) Sudden deafness in vestibular schwannoma. J Laryngol Otol 108:116–119

    Article  PubMed  CAS  Google Scholar 

  60. Morrison AW, King TT (1984) Space-occupying lesions of the internal auditory meatus and cerebellopontine angle. Adv Otorhinolryngol 34:121–142

    CAS  Google Scholar 

  61. Murphy MR, Selesnick SH (2002) Cost-effective diagnosis of acoustic neuromas: a philosophical, macroeconomic, and technological decision. Otolaryngol Head Neck Surg 127:253–259

    Article  PubMed  Google Scholar 

  62. Nadol JB, Arnold WJ (1997) Ear-acoustic neurilemoma. In: Arnold WJ, Laissue JA, Friedmann I, Naumann HH (eds) Diseases of the head and neck. An atlas of histopathology. Thieme, Stuttgart New York, pp 2.50–2.53

    Google Scholar 

  63. Nedzelski JM, Canter RJ, Kassel EE et al (1986) Is no treatment good treatment in the management of acoustic neuromas in the elderly? Laryngoscope 96:825–829

    Article  PubMed  CAS  Google Scholar 

  64. Nissen AJ, Sikand A, Welsh JE et al (1997) A multifactorial analysis of facial nerve results in surgery for cerebellopontine angle tumors. Ear Nose Throat J 76:37–40

    PubMed  CAS  Google Scholar 

  65. Noren G, Greitz D, Hirsch A et al (1993) Gamma knife surgery in acoustic tumors. Acta Neurochir [Suppl] 58:104–107

    CAS  Google Scholar 

  66. Ogawa K, Kanzaki J, Ogawa S et al (1991) Acoustic neuromas presenting as sudden hearing loss. Acta Otolaryngol [Suppl] 487:138–143

    Article  CAS  Google Scholar 

  67. Ogunrinde OK, Lunsford LD, Flickinger JC et al (1995) Cranial nerve preservation after stereotactic radiosurgery for small acoustic tumors. Arch Neurol 52:73–79

    PubMed  CAS  Google Scholar 

  68. Ojemann RG (1993) Management of acoustic neuromas (vestibular schwannomas). Clin Neurosurg 40:498–535

    PubMed  CAS  Google Scholar 

  69. Ottaviani F, Neglia CB, Ventrella L et al (2002) Arch Otolaryngol Head Neck Surg 128:1308–1312

    PubMed  Google Scholar 

  70. Pedersen BC, Jorgensen B, Halaburt H (1992) Acoustic neuroma: observation before operation in elderly patients? In: Tos M, Thomsen J (eds) Proceeding of the first international conference on acoustic neuroma. Kugler, Amsterdam, pp 267–271

    Google Scholar 

  71. Pellet W, Emram B, Cannoni M et al (1993) Les resultats fonctionnels de la chirurgie des neurinomes de l’acoustique unilareraux. Neurochirurgie 39:24–41

    PubMed  CAS  Google Scholar 

  72. Poen JC, Golby AJ, Forster KM et al (1999) Fractionated stereotactic radiosurgery and preservation of hearing in patients with vestibular schwannoma: a preliminary report. Neurosurgery 45:1299–1305

    Article  PubMed  CAS  Google Scholar 

  73. Pollock BE, Lunsford LD, Kondziolka D et al (1995) Outcome analysis of acoustic neuroma management: a comparison of microsurgery and stereotactic radiosurgery. Neurosurgery 36:215–229

    Article  PubMed  CAS  Google Scholar 

  74. Pollock BE, Lunsford LD, Flickinger JC et al (1998) Vestibular schwannoma management. Part I. Failed microsurgery and the role of delayed stereotactic radiosurgery. J Neurosurg 89:944–948

    PubMed  CAS  Google Scholar 

  75. Pollock BE, Lunsford LD, Kondziolka D et al (1998) Vestibular schwannoma management. Part II. Failed radiosurgery and the role of delayed microsurgery. J Neurosurg 89:949–955

    PubMed  CAS  Google Scholar 

  76. Pollock BE, Lunsford LD, Noren G (1998) Vestibular schwannoma management in the next century: A radiosurgical perspective. Neurosurgery 43:475–483

    Article  PubMed  CAS  Google Scholar 

  77. Prasad D, Steiner M, Steiner L (2000) Gamma surgery for vestibular schwannoma. J Neurosurg 92:745–759

    PubMed  CAS  Google Scholar 

  78. Ramsay HAW, Luxford WM (1993) Treatment of acoustic tumors in elderly patients: is surgery warranted? J Laryngol Otol 107:297–297

    Article  Google Scholar 

  79. Rand RW, Kurze T (1968) Preservation of vestibular, cochlear and facial nerves during microsurgical removal of acoustic tumors. Report of two cases. J Neurosurg 28:158–161

    PubMed  CAS  Google Scholar 

  80. Regis J, Pellet W, Delsanti C et al (2002) Functional outcome after gamma knife surgery or microsurgery for vestibular schwannomas. J Neurosurg 97:1091–1100

    PubMed  Google Scholar 

  81. Sakamoto T, Shirato H, Takeichi N et al (2001) Annual rate of hearing loss falls after fractionated irradiation for vestibular schwannoma. Radiother Oncol 60:45–48

    Article  PubMed  CAS  Google Scholar 

  82. Samii M, Matthies C (1997) Management of 1,000 vestibular schwannomas (acoustic neuromas): surgical management and results with emphasis on complications and how to avoid them. Neurosurgery 40:11–23

    Article  PubMed  CAS  Google Scholar 

  83. Samii M, Matthies C (1997) Managemetn of vestibular schwannomas (acoustic neuromas): hearing function in 1,000 tumor resections. Neurosurgery 40:248–262

    Article  PubMed  CAS  Google Scholar 

  84. Samii M, Matthies C, Tatagiba M (1997) Management of vestibular schwannomas (acoustic neuromas): auditory and facial nerve function after resection of 120 vestibular schwannomas in patients with neurofibromatosis. Neurosurgery 40:696–706

    Article  PubMed  CAS  Google Scholar 

  85. Sampath P, Holliday MJ, Brem H et al (1997) Facial nerve injury in acoustic neuroma (vestibular schwannoma) surgery: etiology and prevention. J Neurosurg 87:60–66

    PubMed  CAS  Google Scholar 

  86. Selesnick SH, Rebol J, Heier LA et al (2001) Internal auditory canal involvement of acoustic neuromas: surgical correlates to magnetic resonance imaging findings. Otol Neurotol 22:912–916

    Article  PubMed  CAS  Google Scholar 

  87. Shin YJ, Lapeyre-Mestre M, Gafsi I et al (2003) Neurotological complications after radiosurgery versus conservative management in acoustic neuromas: a systemic review-based study. Acta Otolaryngol 123:59–64

    Article  PubMed  Google Scholar 

  88. Shirato H, Sakamoto T, Sawamura Y et al (1999) Comparison between observation policy and fractionated stereotactic radiotherapy (SFR) as an initial management for vestibular schwannoma. Int J Radiat Oncol Biol Phys 44:545–550

    Article  PubMed  CAS  Google Scholar 

  89. Shirato H, Sakamoto T, Takeichi N et al (2000) Fractionated stereotactic radiotherapy for vestibular schwanoma (VS): comparison between cystic-type and solid-type VS. Int J Radiat Oncol Biol Phys 44:1395–1401

    Google Scholar 

  90. Tos M, Thomsen J (1984) Epidemiology of acoustic tumors. J. Laryngol Otol 98:685–692

    Article  PubMed  CAS  Google Scholar 

  91. Tos M, Thomsen J (1991) Management of acoustic neuromas. A review. Acta Otolaryngol 111:616–632

    Article  PubMed  CAS  Google Scholar 

  92. Tos M, Charabi S, Thomsen J (1999) Incidence of vestibular schwannomas. Laryngoscope 109:736–740

    Article  PubMed  CAS  Google Scholar 

  93. Varlotto JM, Shrive DC, Alexander E III et al (1996) Fractionated stereotactic radiotherapy for the treatment of acoustic neuromas: preliminary results. Int J Radiat Oncol Biol Phys 36:141–145

    PubMed  CAS  Google Scholar 

  94. Wallner KE, Sheline GE, Pitts LH et al (1987) Efficacy of irradiation for incompletely excised acoustic neurilemomas. J Neurosurg 67:858–863

    PubMed  CAS  Google Scholar 

  95. Walsh RM, Bath AP, Bance ML et al (2000) The role of conservative management of vestibular schwannomas. Clin Otolaryngol 25:28–39

    Article  PubMed  CAS  Google Scholar 

  96. Weber DC, Chan AW, Bussiere MR et al (2003) Proton beam radiosurgery for vestibular schwannoma: Tumor control and cranial nerve toxicity. Neurosurgery 53:577–588

    Article  PubMed  Google Scholar 

  97. Wiegand DA, Fickel V(1989) Acoustic neuroma-the patient’s perspective: subjective assessment of symptoms, diagnosis, therapy and outcome in 541 patients. Laryngoscope 99:179–187

    Article  PubMed  CAS  Google Scholar 

  98. Wiegand DA, Ojemann RG, Fickel V (1996) Surgical treatment of acoustic neuroma (vestibular schwannoma) in the United States: report from the Acoustic Neuroma Registry. Laryngoscope 106:58–66

    Article  PubMed  CAS  Google Scholar 

  99. Williams JA (2002) Fractionated stereotactic radiotherapy for acoustic neuromas. Int J Radiat Oncol Biol Phys 54:500–504

    PubMed  Google Scholar 

  100. Wilson DF, Hodgson RS, Gustafson MF et al (1992) The sensitivity of auditory brainstem response testing in small acoustic neuromas. Laryngoscope 102:961–964

    PubMed  CAS  Google Scholar 

  101. Wolf SR, Triebswetter F, Schneider W et al (1996) Growth velocity of acoustic neurinomas: observations with magnetic resonance imaging. Eur Arch Otorhino-laryngol 253:75

    Google Scholar 

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Grosu, AL., Oestreicher, E., Fauser, C., Lumenta, C., Arnold, W.J., Molls, M. (2008). Vestibular Schwannoma (Acoustic Neuroma). In: Seegenschmiedt, M.H., Makoski, HB., Trott, KR., Brady, L.W. (eds) Radiotherapy for Non-Malignant Disorders. Medical Radiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-68943-0_36

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