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urBei-iingNeurosurgicalInstitute (BNI) betweenDecember1994andDecember2002. Themeanclinicalfollow-upperiodandradiologicalfollow-upperiodwas25.8months (6 ~ 101mOBths) and21.8months (6 ~ 93months) respectively. Re. suitsWithradiologicalfollow-up7Otumors (31.0%) regressed, 145tumors (64.1%) remainedunchanged, 1ltumors (4.9%) grew, andtheoveralltumorcontrolratewas95.1%. rI'herateofhearingdeteriorationwas2O. 4%. therateofpermanentfael'alparalysiswas0%. therateoftransientfacialparalysiswas6.2%. andtheincidencesoftrigeminalneu-ropathieswere21.2%. ConclusionGRSiseffectiveforsmal1VSandprovideanvisibleprotectionforcranialnerve. KeyWords: vestibularschwannoma: gammakniferadiosurgery; stereotacticradiosurgery acoustic neuroma ¨ originated in the auditory nerve sheath, a typical schwannoma occurred in the internal auditory canal in the vestibulocochlear nerve in vestibular section, a few occurred in the nerves of the cochlea, the Department, so it is also known as vestibular schwannoma The Centre in December 1994 to December 2002 and followed up gamma knife treatment of 226 patients with unilateral vestibular schwannoma (vestibularschwannoma,[link widoczny dla zalogowanych], VS), clinical data on the summary of the group study of Gamma Knife on the VS opposite effect and auditory nerve function. 1 Materials and methods 1.1 General materials, 226 cases of this group of patients, male 9r7 cases (43.O%), female 129 cases (57.O%); youngest 1O years old,[link widoczny dla zalogowanych], maximum 77 years, average 49.9 years . 169 cases of gamma knife treatment of choice (74.8%), gamma knife treatment again after craniotomy in 57 cases (25.2%). The smallest tumor 0.037cm3, the largest 21.500cm3, average 4.720cm3. 1.2 method from the end of 1994 to May 2002,[link widoczny dla zalogowanych], the Center uses therapy equipment for the Swedish company Elekta May 2002 after the upgrade to The center of the minimum tumor dose of 15.0Gy, the largest 60.0Gy, the average 28.9Gy; peripheral dose minimum 9.0Gy, the largest 14.0Gy, the average 12.9Gy; peripheral isodose least 30. O%, maximum 80.0%, an average of 45.4%; treatment center for at least one, up to 9, average 5. MRI after gamma knife radiosurgery for the shortest time for review 6 months,[link widoczny dla zalogowanych], for a maximum of 93 months, an average of 21.8 months; clinical follow-up time of 6 months minimum, up to 101 months,[link widoczny dla zalogowanych], an average of 25.8 months. Criteria of 1.3 on the axial MRI, x direction perpendicular to the petrous bone tumor maximum diameter, Y direction is parallel to the petrous bone tumor maximum diameter, z direction on the coronal MRI tumor diameter. Average diameter of the end product of the cube root of three tracks. Generally believed that the average diameter of 1 ~ 1.5mm line prompt changes in tumor volume changes of 20%, this change to the average diameter of tumors ≥ 1.5mm (volume changes> 20%) as a significant change in tumor size determination criteria. 2 2.1 volume change clinical outcomes of 226 cases in this group of patients, MRI after gamma knife treatment of 21.8 months mean follow-up examination, including tumor volume compared with gamma knife
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