What are fractionation options for a patient with progressive jugular foramen paraganglioma now causing multiple cranial nerve deficits?

I typically individualize fractionation based on tumor volume, proximity to brainstem and cochlea/IAC (especially when serviceable hearing is present), and the pattern of cranial nerve deficits

For tumors <35 cc, I favor SBRT 24 Gy in 3 fractions, with escalation.to 27 Gy when aiming for maximal tumo...