Acoustic Neuroma

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What’s acoustic neuroma?

Acoustic neuroma is a uncommon tumor. It isn’t most cancers. It grows slowly from an overproduction of Schwann cells and can also be referred to as a vestibular schwannoma. The tumor then presses on the listening to and stability nerves within the internal ear. Schwann cells usually wrap round and assist nerve fibers. A big tumor can press on the facial nerve, which controls facial muscular tissues and sensation. Or it will probably press on mind constructions.

There are 2 varieties of acoustic neuromas:

  • Unilateral acoustic neuromas. This sort impacts just one ear. It is the most typical kind of acoustic neuroma. This tumor might develop at any age. It most frequently occurs between ages 30 and 60. Acoustic neuroma could also be the results of nerve harm brought on by environmental elements. The one sure environmental threat issue is previous radiation to the pinnacle. It is unclear if extended publicity to loud noises is a reason behind acoustic neuromas.

  • Bilateral acoustic neuromas.  This sort impacts each ears and is inherited. It is brought on by a genetic drawback referred to as neurofibromatosis-2 (NF2).

What causes acoustic neuroma?

Acoustic neuroma may be brought on by:

What are the signs of acoustic neuroma?

These are the most typical signs of acoustic neuroma:

  • Listening to loss on one aspect, can’t hear high-frequency sounds

  • Feeling of fullness within the ear

  • A ringing within the ear (tinnitus), on the aspect of the tumor

  • Dizziness

  • Stability issues or unsteadiness

  • Facial numbness and tingling with doable paralysis of a facial nerve. That is uncommon.

  • Complications, a careless stroll, and psychological confusion

The signs of acoustic neuroma might appear to be different situations or well being issues. At all times speak together with your healthcare supplier for a prognosis.

How is acoustic neuroma recognized?

Acoustic neuromas appear to be different center and internal ear issues. They could be arduous to diagnose. An ear examination and a listening to take a look at are sometimes achieved first. A CT scan and MRI can assist to seek out and measure the tumor.

How is acoustic neuroma handled?

Remedy will rely in your signs, age, and basic well being. It can additionally rely on how extreme the situation is.

Remedy might embody watching and ready, surgical procedure, or radiation. Surgical procedure for bigger tumors can harm listening to, stability, and facial nerves. One other therapy alternative is radiosurgery, reminiscent of Gamma Knife®. This makes use of centered radiation to scale back the scale or blunt the expansion of the tumor.

What are doable problems of acoustic neuroma?

If the tumor will get sufficiently big, it will probably press in opposition to the mind stem. This could have an effect on neurological operate and even turn out to be life-threatening.

Key factors about acoustic neuroma

  • Acoustic neuroma is a tumor. It isn’t most cancers. It impacts listening to and stability when the tumor presses on the nerves within the internal ear.

  • It is a uncommon tumor that impacts middle-aged folks.

  • It may be brought on by radiation publicity to the pinnacle and neck. Some varieties are inherited.

  • It is recognized utilizing listening to assessments and imaging assessments.

  • Remedy can embody watching and ready, surgical procedure, or radiation.

Subsequent steps

Suggestions that can assist you get probably the most from a go to to your healthcare supplier:

  • Know the explanation to your go to and what you need to occur.

  • Earlier than your go to, write down questions you need answered.

  • Carry somebody with you that can assist you ask questions and keep in mind what your supplier tells you.

  • On the go to, write down the identify of a brand new prognosis, and any new medicines, therapies, or assessments. Additionally write down any new directions your supplier offers you.

  • Know why a brand new drugs or therapy is prescribed, and the way it will allow you to. Additionally know what the uncomfortable side effects are.

  • Ask in case your situation may be handled in different methods.

  • Know why a take a look at or process is advisable and what the outcomes might imply.

  • Know what to anticipate if you don’t take the medication or have the take a look at or process.

  • When you’ve got a follow-up appointment, write down the date, time, and goal for that go to.

  • Know how one can contact your supplier you probably have questions.

On-line Medical Reviewer:
Ashutosh Kacker MD

On-line Medical Reviewer:
Dan Brennan MD

On-line Medical Reviewer:
Tara Novick BSN MSN



Date Final Reviewed:
2/1/2023




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