I know Sharonov very well becaue it's me. And I never had the surgery with Dr. Shahinian.
I've been in W & W for six years now. Most of the time I've been able to completely forget about my AN. This situation changed twice.
Two years ago I developed Trigeminal Neuralgia and my neurosurgeon thought that it was probably connected to the AN. He said that it was possible to cure both with one surgery. I then frantically posted here almost by the hour, contacted 4 doctors for their opinion (incuding Shahinian), and was leaning toward using him--even though Medicare won't cover any of his surgeries. It would have cost over $35,000, maybe $60,000. There would go my IRA.
Then two of the doctors to whom I sent my MRI results concluded that the TN and AN were unrelated. Yay! I went back to watch and wait. I'm only on the board again because I had my biannual MRI and the tumor has grown. Only a little, but it's grown. It's still under 2 and my symptoms haven't changed, so I may yet escape surgery, but the growth has awakened my awareness yet again so here I am again.
I see that the Shahinian debate still rages. One other guy who uses an endoscope is Dr. Jho in Pittsburgh. I may consider him if surgery seems advisable. One important fact for me, at nearly 69 yrs. of age, is the amount of time under anaesthetic. It's far less with the endoscopic procedure. I wish that I had a list of all Shahinians patients and how they felt 2 or 3 years down the road. Regular surgeons absolutely hate him--mention his name and their lips curl unilaterally and they begin to hyperventilate. But then, that's how other doctors felt about Lister, etc. Is that a valid comparison? Wish I knew.
Sharon