{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T00:05:05Z","timestamp":1756339505851,"version":"3.44.0"},"reference-count":19,"publisher":"BMJ","issue":"4","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,11,9]]},"published-print":{"date-parts":[[2022,4]]},"abstract":"<jats:p>Hypoglossal schwannomas (HS) are extremely rare neoplasms. Surgical resection has historically been the treatment of choice but carries a significant risk of postoperative neurological deficits and mortality. Stereotactic radiosurgery (SRS) is a minimally invasive approach that may afford long-term tumour growth. However, literature to determine the safety and effectiveness of SRS in the treatment of HS is scarce. We report on a patient who presented with progressive headache and dysphagia as well as tongue deviation to the left, due to a space-occupying lesion, consistent on brain MRI with a left HS. Primary SRS using a prescription dose of 12 Gy in a single fraction was used to treat the tumour without complications. By last follow-up, the tumour regressed, and the patient\u2019s symptoms improved. Our case shows that radiosurgery can be safe and effective for the management of HS.<\/jats:p>","DOI":"10.1136\/bcr-2021-244849","type":"journal-article","created":{"date-parts":[[2022,4,11]],"date-time":"2022-04-11T12:02:15Z","timestamp":1649678535000},"page":"e244849","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Stereotactic radiosurgery for hypoglossal schwannoma"],"prefix":"10.1136","volume":"15","author":[{"given":"Nisha","family":"Dabhi","sequence":"first","affiliation":[{"name":"Neurosurgery, University of Virginia Health System, Charlottesville, Virginia, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2020-7653","authenticated-orcid":false,"given":"Stylianos","family":"Pikis","sequence":"additional","affiliation":[{"name":"Neurosurgery, University of Virginia Health System, Charlottesville, Virginia, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jason","family":"Sheehan","sequence":"additional","affiliation":[{"name":"University of Virginia, Charlottesville, Virginia, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2022,4,11]]},"reference":[{"key":"2025082708241706000_15.4.e244849.1","doi-asserted-by":"crossref","first-page":"162","DOI":"10.1016\/j.jocn.2018.11.037","article-title":"Hypoglossal schwannomas: a systematic review of the literature","volume":"62","author":"Bindal","year":"2019","journal-title":"J Clin Neurosci"},{"key":"2025082708241706000_15.4.e244849.2","doi-asserted-by":"crossref","unstructured":"Fornaro R , Salerno A , Filip D , et al . 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