I'm newly diagnosed with a medium sized AN. I had my first MRI on May 23, 2018. I live outside of Hershey PA and am about two hours away from Philadelphia and four hours from Pittsburgh. So far, I have met with a neuro-surgeon at Thomas Jefferson in Philadelphia and a neuro-surgeon and radiation oncologist at Penn State Hershey Medical Center. Thomas Jefferson suggested fractionated radio surgery 5 days per week for about 5 weeks. Hershey recommended gamma-knife (using same GK machine as UPMC Pittsburgh) for either 1 fraction or possibly 5 fractions. From what I have read, the SRT multiple fractions over 5 weeks could possibly save some hearing on my right side (currently have 60 percent available on my right side). I have no other symptoms besides a little tinnitus and of course hearing loss). Balance is good, no dizziness or vertigo. GK however is more direct hitting the tumor precisely with less chance of radiating surrounding healthy tissue. I'm very torn about which treatment to chose and also which facility. Staying close to home has many advantages, however so does traveling to a larger city and facility. Ultimately, I do understand it's my decision and I have to go with my gut. If this were another body part this would be an easier decision (like I wish it was in my toe or something) but when it's your brain, ugh, there are a lot of factors in making the best decision. I'm very faithful and have been doing a lot of praying about it. Anyone have any advice that have had either treatments?