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February 1973

Cerebellopontine Angle Tumors or Acoustic Neuromas: Long-Range Management

Author Affiliations

New York
From the Department of Neurology, Mount Sinai School of Medicine, City University of New York, New York.

Arch Otolaryngol. 1973;97(2):160-165. doi:10.1001/archotol.1973.00780010166015

The management of tumor in the region of the cerebellopontine angle varies with each case. Diagnostic angiography, pneumoencephalography, and iophendylate (Pantopaque) cisternography are essential in every instance. Patients with the clinical syndrome of acoustic neuroma should be surgically treated especially if the mass is small. However, there are patients with asymptomatic slow growing neoplasms, or with very large tumors, who may require some modification of the course of treatment.

Steroid medication for periods of six to eight weeks should be tried to reduce symptoms of intracranial hypertension followed by excision of tumor. In those cases in which surgery is contraindicated, radiotherapy with periodic courses of steroid medication should be tried. In the old and debilitated, radiotherapy might be instituted and surgery postponed indefinitely.