Acoustic neuroma surgery in geriatric patients.

Patients older than 65 years who develop acoustic neuromas have the same signs and symptoms as younger patients. Age limits beyond which surgery for acoustic neuroma is currently not recommended are unreasonable. Untreated vertigo in older patients frequently results in falls that can cause fracture of the femur and significant morbidity and mortality. Surgical removal of acoustic neuromas in patients older than 65 produces results that are as good as those seen in younger patients. The patient's general medical condition, life expectancy, and factors other than chronological age should be considered when surgery is being contemplated. Acoustic neuroma surgery for the older patient can provide gratifying results and should not be withheld strictly on the basis of age.