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Updated: Jan 22, 2026

Primary Culture of Human Vestibular Schwannomas
Published on: July 20, 2014
Characteristics and Outcomes of Pediatric Vestibular Schwannomas
Tyler A Janz1,2, Philip Ryan Camilon3, Anthony Y Cheung3
1Department of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, Charleston, South Carolina.
Insights
Pediatric vestibular schwannomas (VSs) are typically diagnosed in adolescence, with excellent survival rates approaching 97% for children. Treatment decisions for VSs depend on tumor size, offering valuable insights for patient counseling.
Area of Science:
- Pediatric Oncology
- Neurosurgery
- Tumor Biology
Background:
- Vestibular schwannomas (VSs) are rare tumors affecting the nerve connecting the ear to the brain.
- Understanding the characteristics and outcomes of pediatric VSs is crucial for effective management.
Purpose of the Study:
- To analyze the demographics, treatment approaches, and survival rates of children diagnosed with vestibular schwannomas.
- To provide data that can aid healthcare providers in counseling pediatric patients and their families.
Main Methods:
- Utilized the Surveillance, Epidemiology, and End Results (SEER) database for analysis.
- Included pediatric patients (0-18 years) diagnosed with vestibular schwannoma between 2004 and 2014.
- Classified cases based on ICD-O-3 codes for acoustic nerve tumors and specific histology types.
Main Results:
- Identified 148 pediatric vestibular schwannoma cases, with a mean age at diagnosis of 13.9 years.
- Tumor treatment varied, including surgery alone (55.4%), no treatment (30.4%), radiation alone (4.1%), and combined surgery and radiation (8.1%).
- Median tumor size significantly differed across treatment groups, and the 5-year overall survival rate was 97%.
Conclusions:
- Pediatric vestibular schwannomas predominantly affect adolescents, with no significant gender predilection.
- Treatment strategies for pediatric VSs are influenced by tumor size.
- Survival outcomes for children with vestibular schwannomas are highly favorable.
Objective:
To review the demographics, treatment modalities, and survival of children with vestibular schwannomas.
Study Design:
Analysis using the Surveillance, Epidemiology, and End Results (SEER) database.
Subjects And Methods:
Pediatric patients from birth to 18 years in the SEER database were included from 2004 to 2014 based on a diagnosis of vestibular schwannoma using the primary site International Classification of Diseases (ICD) O-3 code of C72.4: acoustic nerve and the ICD O-3 histology codes of 9540/1: neurofibromatosis, Not Otherwise Specified (NOS); 9560/0: neurilemoma, NOS; or 9570/0: neuroma, NOS.
Results:
One hundred forty-eight pediatric vestibular schwannomas (VSs) cases were identified. The mean age at diagnosis was 13.9 years (range, 4.0-18.0). Eighty-five (57.4%) patients were women. Seventy-seven (52.0%) patients had isolated unilateral VSs while 71 (48.0%) patients had either bilateral VSs or unilateral VSs with other brain, spinal cord, or cranial nerve tumors. Eighty two (55.4%) patients received surgical resection only, 45 (30.4%) received no treatment, 6 (4.1%) received radiation only, and 12 (8.1%) received surgery and radiation. The median tumor size for patients who received no treatment was 9.5 mm (interquartile range [IQR]: 8.0) compared with 33.5 mm (IQR: 23.0) for patients who received surgical care and 41.0 mm (IQR: 1.5) for patients who received both surgery and radiation (p < 0.001). The 5-year overall survival rate was 97%.
Conclusion:
Pediatric VSs tend to be diagnosed in adolescence. No men or women predominance was appreciated. Treatment varied according to tumor size. Survival rates for children with vestibular schwannomas are excellent. These data may assist healthcare providers when counseling children with vestibular schwannomas and their families.
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