I didn't know that 'Grey's Anatomy' would have a storyline on a patient with an acoustic neuroma but we watch the show on a regular basis and when it was mentioned as 'Dr. Shepherd''s' first neurosurgery after his near-career-ending hand injury, surgical repair and rehabilitation, I was, naturally, interested in how it would be portrayed.
As you've all noted, the treatment of the AN patient was predictably superficial because, let's face it, this show is a TV drama that uses doctors and their hospital as a vehicle for stories about people needing surgery or other medical care, but the leading characters love lives (and frequent sexual adventures) are the real focus of the show. The AN story began fairly realistically but the 'patient' only complained of headaches. Dizziness seemed to be a very minor symptom. The details of his AN were never mentioned except that while waiting for Dr. Shepherd to recover and operate, the AN had grown and the risks increased. If the surgical procedure used was mentioned, I missed it. They did list the risks fairly accurately. It was also mentioned at the end of the show that the operation took 23 hours, which seemed extreme but not entirely impossible. The lack of a head bandage on the just-out-of-surgery AN patient was noticeable to me but probably not to anyone who hasn't undergone AN surgery, which would be most of the people watching the show. During the 'surgery' they flashed a 2-second look at the monitor showing the tumor but it was so quick that it probably didn't even register with anyone watching. Finally, the rosy outcome was a bit too perfect even if it wasn't totally unrealistic. No facial paralysis, no hearing loss. Chalk up another surgical miracle for 'Doctor McDreamy'!
As Susie's daughter said - "it's TV, Mom". I don't expect this kind of TV medical drama to be a documentary and get all of the details right. Most of the people watching don't really care and often too much medical jargon turns people off because its undecipherable. That 'Grey's Anatomy' covered an acoustic neuroma patient was interesting but if I want medical realism, I can watch the Youtube video Arizona Jack referenced.
Jim