One of the outstanding improvements in neurological surgery in recent years has been in the handling of acoustic neurinomas. It is now generally agreed that these tumors should be totally removed whenever possible (Bucy). There are, of course, situations in which it is best to be content with a less complete extirpation. Usually this is when the tumor is unusually adherent to the brain stem or when the patient's condition makes a complete extirpation exceptionally hazardous. With continued improvement in early diagnosis and in surgical management the instances of incomplete extirpation are growing fewer and fewer. Nevertheless, on many occasions the surgeon's problems are greatly increased because the tumor has reached an enormous size before it is recognized or before the need for surgical intervention is realized. This means that we must continue to attain earlier recognition of these tumors in order to obtain the best surgical treatment.
BUCY PC, ISAMAT F. Tumors of the Cerebellopontine Angle: Their Early Recognition. Arch Otolaryngol. 1961;73(1):29–36. doi:10.1001/archotol.1961.00740020033003
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