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Cystic vestibular schwannomas (VS) form a rare subgroup that differs from the solid variant clinically and radiologically. Certain unique features reported in cystic VS are larger size, presentation with atypical initial symptoms such as dysgeusia, vertigo, facial pain and gait unsteadiness, short duration of symptoms, rapid progression of symptoms or sudden deterioration and frequent involvement of facial nerve. Gamma Knife radiosurgery (GKRS) is a safe and effective treatment for VS, achieving tumor control and resulting in a very low morbidity rate. Here, we described two cases of cystic vestibular schwannomas prior to GKRS and their radiological appearances post-GKRS.

asian journal of oncology

Cystic Vestibular Schwannomas and Post–Gamma Knife Radiosurgery-Induced Necrosis of Vestibular Schwannomas: Report of Two Cases and Review of Literature