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This article explores the management of trigeminal schwannomas, which are benign tumors that can develop along the trigeminal nerve. The study analyzes 49 cases of trigeminal schwannomas at a large academic medical center, examining patient demographics, tumor characteristics, treatment strategies, and associated complications. The findings reveal that management approaches varied, with some patients undergoing observation, microsurgery, or radiation therapy. The study suggests that subtotal resection may be a valuable strategy for managing large, growing, and symptomatic tumors, but it carries a higher risk of requiring additional intervention. [Extracted from the article]