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what is FSR?

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Peggy:
I was just told  I have AN , the MRI place said it was large, it measures 1.1 x 2.0 x 1.5 cm, from what I've been reading it seems more medium than large, but at this point does it really matter, its there and I have to figure out how to get rid of it.  I been reading a lot (probably not so good, but I cant help myself , I need to know)  I've read about gamma knife and surgery but what is FSR, I haven't come across that, or maybe I did and dont remember.  I don't know what to do at this poiint, my family doc said to find a ear, nose throat doc and a surgeon, I went to an ear doc he told me I need to go to a univeristy to have it removed, ok now how do I find a specialist that deals with this,  I do have some lose of hearing in my left ear and the ringing is constant, I had vertigo about a week ago and thats what sent me to the doc, I mentioned to him over the last 6 months if not longer I have felt pain in the back of my head thats when he sent me for an MRI, and now this, where do I go from here?

yardtick:
Hi Peggy,
Funny I asked the same question earlier today in a reply to another thread I read.  I'm not as computer savy as you to post the question.  I have a facial neuroma 1cm x 5mm.  I've had a translab last Sept.  I was told in Jan the facial nerve needs to be removed with a nerve graft. I 'm waiting for another MRI and a second opinion  ( I listened to the wise folks on this forum).  I've read a lot and I can't seem to find anything on the web about FSR.  I"m sorry to read you too have AN.  The neuroma is also on my leftside.  I wonder what the percentages of left to right are and female to male are?
Good luck,
Anne Marie   

sgerrard:
FSR = Fractionated Stereotactic Radiation

Which means, in plain vanilla language, radiation delivered from multiple angles (the stereotactic part), over multiple days of treatment (the fractionated part).

All the radiation methods for ANs are stereotactic - GammaKnife shoots 201 beams at once from different angles; Liniac and CyberKnife shoot one beam from many different angles by moving the beam around.

GammaKnife is usually done all in one day, so it is not fractionated. CyberKnife is often done in 3 days, so it is fractionated; and Liniac is often done over many days, so it is fractionated.

I am no expert, just a newbie too, who has been reading up on this stuff. I have some science background and work as a computer programmer, so I can sponge up a lot of the technical stuff.

Peggy, there are other topics on this forum that might help you find a good clinic, whether it is a university one or not. Where in the country are you?

And keep reading; being well informed will help you find the right answer and the right team of doctors to help you. You have already found a good resource in this forum, it has helped me a lot so far.

Steve

Windsong:
http://jnnp.bmj.com/cgi/content/full/74/11/1536

here's another write up , this one coming out of england.... I didn't read it all, though....

windsong

leapyrtwins:
Peggy -

from what I know, an AN your size is usually considered medium.  I had one about the same size.

Anyway, where I'm from (Illinois) I don't know any ENTs who deal with ANs; referrals are made to neurotologists who work with neurosurgeons (in the case of surgery) and with radiation oncologists (in the case of radiation procedures - GK, FSR).  Don't let the term oncologist scare you - 99.9% of ANs are noncancerous.  No matter what course of treatment you choose, it's advisable to find a specialist and one who has a lot of experience. 

From what I've read in other posts, if you give us your whereabouts, members can give you some idea of where to look for a specialist in your area.

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