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ptimal treatment strategy. Gamma knife radiosurgery (GKRS) is commonly used to treat vestibular schwannomas (VSs). The risk of complications from GKRS decreases at lower doses, but it is unknown if long-term tumor control is negatively affected by dose reduction. This was a retrospective case review and analysis of patient data. Tertiary referral center. Patients with VSs who underwent GKRS between 1990 and 2007 at the authors' institution. The subjects were divided into two cohorts based on the prescribed doses of radiation received a