In our last episode, we established the foundational framework for managing vestibular schwannomas. We worked up our patient, a 55-year-old man with a Koos Grade II tumor and serviceable hearing, and after reviewing the options, decided that stereotactic radiosurgery offered him the best balance of tumor control and functional preservation. Today, we take him to the treatment planning system. This episode is a deep dive into the technical aspects of radiation for vestibular schwannoma, covering simulation, precise dose prescriptions, critical cranial nerve dose constraints, and long-term follow-up.

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