Cerebellopontine epidermoid cysts: is the pursuit of complete resection justifiable despite high recurrence rates?

During long-term follow-up, recurrence of CPA EC was frequent and occured with all grades of resection. Given the relatively high risk of neurological sequelae associated with surgery, the surgical strategy should prioritize safe resection over aggressive attempts at total removal. Even in cases of complete resection, routine imaging follow-up at intervals of 5 to 10 years, with the possibility of extending surveillance up to 20 years, is recommended.