Koos grading scale

Last revised by Yuranga Weerakkody on 23 Nov 2022

The Koos grading scale 1 is frequently used as a classification system for vestibular schwannomas.

Classification

  • grade 1: small intracanalicular tumour
  • grade 2: small tumour with protrusion into the cerebellopontine cistern (CPA); no contact with the brainstem
  • grade 3: tumour occupying the cerebellopontine cistern with no brainstem displacement
  • grade 4: large tumour with brainstem and cranial nerve displacement
Reliability

A recent cross-sectional study 2 proved its inter- and intra-reliability, demonstrating that the Koos classification system is a reliable method.

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