Failed stereotactic radiosurgery for acoustic neuroma

A case of recurrent acoustic neuroma in a 58-year-old man is presented. The tumour was initially subtotally removed and then was irradiated using ster eotactic radiosurgery. He represented with ataxia and new onset headache fo ur years later and underwent further surgery for recurrence of his acoustic neuroma. The literature is reviewed and the authors' view point on the dif ferent modalities of treatment is discussed.