Stereotactic radiosurgery for sporadic vestibular schwannoma

Vestibular schwannoma (VS) is the most common lesion of the cerebellopontine angle, accounting for approximately 8–10% of all intracranial tumors. Current treatment options include microsurgery, stereotactic radiosurgery (SRS), and conservative observation. SRS has been established as a primary treatment option and a viable alternative to microsurgery, offering high tumor control rates with low morbidity. This review summarizes current discussions regarding SRS for VS, based on recent studies and international guidelines. It also provides evidence-based treatment strategies according to tumor size to inform clinical decision-making.