Hi Dr. Pravar. My daugther s Acoustic neurinoma was discovered at the age of 22 in year 2001 at a size of 2.5x3.5 cm, was partially removed with microsurgery. The operation was successful, her facial nerve did not get paralyzed (her hearing was already very little in the right ear at the time of operation, it became zero afterwards). The tumor started to regrow after 4 years, then she became pregnant; during pregnancy the tumor unfortunately grew to almost its original size...in 2009 she underwent fractionated radiotherapy (LINAC) during 5 weeks altogether 52 Gy. As a result the tumor shrinked by appr. 20-25% which we are very happy about. My daughter would prefer to have another baby - but concerned about possible regrowth of the tumor again...we went through a lot of literature on internet etc. but could not find anything about what can be expected during pregnancy after radiosurgical treatment of AN. We already know that her type of tumor responds well and tends to grow in pregnancy, read that salvage surgery after radiotreatment of AN is very difficult and likely to result in facial palsy. We would appreciate if you could provide some insight of such cases in your practice or any related info or contact that can be useful for taking this important decision (perhaps not my daughter is the only one facing such tough situation).