How would you approach SRS for a multiply hemorrhagic unresectable brainstem cavernous malformation?

If a patient has a hemorrhagic or symptomatic brainstem cavernous malformation (CM) that is unresectable, SRS may be the only option. I try to go as high of a dose as I can while respecting dose tolerance to the uninvolved brainstem. Depending on that, my typical dose would be 16 Gy. Retrospective s...

I think the first issue is should you treat and do you have any data to support the decision to treat.

There are guidelines that support its use in this circumstance: "Synopsis of Guidelines for the Clinical Management of Cerebral Cavernous Malformations: Consensus Recommendations Based on Systematic...