Stereotactic radiosurgery in the management of vestibular schwannoma and glomus jugulare: indications, techniques, and results

Jeffrey T Jacob; Bruce E Pollock; Matthew L Carlson; Colin L W Driscoll; Michael J Link

doi:10.1016/j.otc.2015.02.010

Stereotactic radiosurgery in the management of vestibular schwannoma and glomus jugulare: indications, techniques, and results

Otolaryngol Clin North Am. 2015 Jun;48(3):515-26. doi: 10.1016/j.otc.2015.02.010. Epub 2015 Apr 11.

Authors

Jeffrey T Jacob¹, Bruce E Pollock², Matthew L Carlson³, Colin L W Driscoll⁴, Michael J Link⁵

Affiliations

¹ Department of Neurologic Surgery, Mayo Clinic School of Medicine, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA.
² Department of Neurologic Surgery, Mayo Clinic School of Medicine, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA; Department of Radiation Oncology, Mayo Clinic School of Medicine, 200 First Street Southwest, Rochester, MN 55905, USA.
³ Department of Otolaryngology-Head and Neck Surgery, Mayo Clinic School of Medicine, 200 First Street Southwest, Rochester, MN 55905, USA.
⁴ Department of Neurologic Surgery, Mayo Clinic School of Medicine, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA; Department of Otolaryngology-Head and Neck Surgery, Mayo Clinic School of Medicine, 200 First Street Southwest, Rochester, MN 55905, USA.
⁵ Department of Neurologic Surgery, Mayo Clinic School of Medicine, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA; Department of Otolaryngology-Head and Neck Surgery, Mayo Clinic School of Medicine, 200 First Street Southwest, Rochester, MN 55905, USA. Electronic address: link.michael@mayo.edu.

PMID: 25873444
DOI: 10.1016/j.otc.2015.02.010

Abstract

Gamma Knife stereotactic radiosurgery (GKS) has become an important management strategy for an increasing number of patients with skull base tumors. For select patients with lateral skull base disorders, given the proximity to sensitive critical structures such as the brainstem, cranial nerves, and cochlea, this technology has emerged as a first-line treatment to achieve the paramount goals of long-term tumor control and maintenance of existing neurologic function. This article reviews the indications, technique, and results of GKS for the treatment of vestibular schwannoma and glomus jugulare tumors, and highlights our experience in treating these tumors at the Mayo Clinic.

Keywords: Glomus jugulare; Skull base tumors; Stereotactic radiosurgery; Vestibular schwannoma.

Publication types

Review

MeSH terms

Follow-Up Studies
Glomus Jugulare Tumor / surgery*
Humans
Magnetic Resonance Imaging
Neuroma, Acoustic / surgery*
Radiosurgery / methods*
Skull Base Neoplasms / surgery*
Treatment Outcome