Hi Anne,
I was diagnosed with a 9 mm AN in my left ear last fall. First I just wanted to get the AN out so scheduled surgery. After further consideration, I decided to have CK treatment. However, after consulting with the radiologist (I know this is not the right title, but it seems to fit the situation), I was told that because the cochlea is so close to my AN, the radiation would damage the cilia inside the cochlea and I would lose the hearing in that ear within 2 - 6 months.
Currently, my hearing is pretty good in the AN ear, my major issue is with balance, but I have learned to deal with it and decided not to have the CK yet either. The key question I asked myself was: "why am I doing this to myself for a slow growing AN that so far has only affected my balance?" My answer was, "I shouldn't" and the radiologist concurred that she would be comfortable if I waited a year or two, so I am now in the W & W category.
The point is, no matter how well targeted the radiation is, if the cochlea is very close to the AN, it will also receive a smaller radiation dose which may affect it's ability to function properly.
Hope this helps,
Rod