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

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.