Abstract
Objective: Greater access to advanced imaging combined with the high-resolution of modern contrast-enhanced magnetic resonance imaging (MRI) has resulted in a growing number of incidentally diagnosed vestibular schwannomas (VS). Cadaveric studies have demonstrated that the true incidence of VS is much greater than clinically derived estimates suggest. Thus, several patients harbor asymptomatic VS that may never manifest clinically or require treatment during their lifetime. Currently, little data are available regarding the clinical course of incidentally diagnosed VS. Specifically, it is unknown whether these tumors represent a more indolent biological variant. Such information would be beneficial toward patient counseling regarding treatment strategy and surveillance intervals during observation.
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