What is appropriate followup duration after treatment for an acoustic neuroma?

Annual follow up is appropriate for most patients, and q6m MRI may not be necessary. If possible, long term follow up of 10 year or longer is prefered.

The local control of acoustic neuroma with radiation treatment (SRS or FSRT) is excellent. Most series reported long term control of 95% or higher. Though late recurrence may happen, it is rare. For example, the series by Combs SE with long term follow up showed 5 y control of 95%, and 10 y local control of 94%. Thus follow up of 5 years would c...

Follow up every 6 months for the first year, then annually after that is reasonable. While local control is excellent, long term effects including hearing loss, imbalance, and other quality of life issues need to managed.