Acute and subacute sensorineural hearing loss after radiosurgery for vestibular schwannomas: Avoiding what is avoidable

We read with great interest the article of Wu et al. [1] regarding acute sensorineural hearing loss in patients with vestibular schwannomas (VS) early after fractionnated Cyberknife radiosurgery (RS). The reported prevalence was 8.6% as considered in the first 6 months after RS. Hearing improvement was noted in only one patient after 3 months time. The authors postulate that this is related to damage to the cochlear nerve. Furthermore, they postulate that tumors measuring less than 1.45 cm with serviceable hearing should be observed.

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