Should Gamma Knife be Offered as aPrimary Treatment for a Resectable GlomusJugulare Tumor

Abstract

Attempted total resections is the preferred treatment option in the management of glomus jugulare tumors in most subjects. In theelderly patients, it may be advisable to leave a tiny residue over the involved cranial nerve to preserve function. In a medically unfit andanesthetically high-risk subject observation with serial MRI scans is the preferred line of management. If in such a patient there occursbrainstem compression, it is prudent to only operate the intracranial part to relieve the compression explaining the very high-risk in thisgroup. Radiotherapy is not to be offered as a primary treatment for glomus jugulare tumors.