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Newly developed or worsening endocrinopathy occurred in 3 patients at the time interval of 6, 15, and 18 months, respectively. Cranial nerve (CN) III neuropathy developed in 1 patient. Two patients required bilateral adrenalectomy at 44 months and 50 months following GKRS, respectively. CONCLUSION GKRS appears to be a safe and reasonably effective treatment option for CCA. Larger numbers of patients from a multicenter study are needed to verify these findings. BACKGROUND Microvascular decompression (MVD) is a commonly performed procedur