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. 2019 Oct 28;22(1):31–45. doi: 10.1093/neuonc/noz153

Table 3.

The Koos grading system69

Koos Grade Tumor Description
I Small intracanalicular tumor
II Small tumor with protrusion into the cerebellopontine angle; no contact with the brainstem
III Tumor occupying the cerebellopontine cistern with no brainstem displacement
IV Large tumor with brainstem and cranial nerve displacement