Failed stereotactic radiosurgery for acoustic neuroma

Abstract

A case of recurrent acoustic neuroma in a 58-year-old man is presented. The tumour was initially subtotally removed and then was irradiated using stereotactic radiosurgery. He represented with ataxia and new onset headache four years later and underwent further surgery for recurrence of his acoustic neuroma. The literature is reviewed and the authors' view point on the different modalities of treatment is discussed.