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Doctor insights on: Acoustic Neuroma Surgery Side Effects

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Acoustic neuroma surgery - any lingering auditory effects?

Acoustic neuroma surgery - any lingering auditory effects?

Yes: Depending on size of the tumour, presurgery hearing levels, including several parameters--the decision to do hearing preservation surgery--the skill of the surgeon -success rate between 40-80% has been studied. ...Read more

Dr. Neil Giddings
111 Doctors shared insights

Acoustic Neuroma (Definition)

A benign, noncancerous tumor that grows at the base of the brain. The most common symptom is hearing loss, often noticed on the telephone. Hearing tests and MRI ...Read more


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Acoustic neuroma surgery - are there any common after effects?

Always: The size of the tumor dictates the chances of some problems from surgery. Most people that have surgery, are able to resume all their normal activities after a recovery period. Almost all patients will experience some vertigo following surgery that resolves over about 4-8 weeks. With larger rumors your chance of having temporary or permanent facial weakness increases. ...Read more

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Acoustic neuroma surgery - does ENT or a neurosurgeon do the surgery?

Acoustic neuroma surgery - does ENT or a neurosurgeon do the surgery?

Both: The national institute of health has recommended that acoustic neuroma patients be treated by a team of physicians including ENT and neurosurgery, because patient outcomes were better than when just one specialty was involved. Frequently both physicians will be involved with the surgery, depending on the chosen surgical approach. ...Read more

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What should I do for my acoustic neuroma post surgery?

What should I do for my acoustic neuroma post surgery?

Talk to your doctor: Talk to the surgeon that removed your tumor. He or she will be most familiar with you and the pathology of your case. ...Read more

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I just got a diagnosis of acoustic neuroma. Is surgery a better option verses radiation when the tumour is 4 mm?

I just got a diagnosis of acoustic neuroma. Is surgery a better option verses radiation when the tumour is 4 mm?

Depends: At that size another option is to simply observe the tumor. When considering any intervention it's important to understand the overall experience of the center you are being treated at. A 4mm lesion is quite small and could be observed in some cases. ...Read more

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Are there any treatments for an acoustic neuroma besides brain surgery?

Acoustic neuroma: Yes. Stereotactic radiosurgery is a treatment to stop the growth of acoustic neuromas. Radiosurgery is a focused beam of radiation using computer navigation to target the tumor and stop the growth. Based on the size and symptoms, small tumors with preserved hearing may be observed instead of treatment. Discuss with a team of surgeons who specialize in the treatment of acoustic neuromas. ...Read more

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Could acoustic neuroma located in both side (left & right)?

Rarely: Acoustic neuromas are rarely bilateral and when they are they are usually related to neurofibromatosis type 2. ...Read more

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My Recent MRI showed a 10mm ovoid cyst in the left basal ganglia - should I be concerned? I also have a 4mm acoustic neuroma on the right side.

Careful followup: You have two areas uncovered. The acoustic neuroma is the bigger issue, and needs to be carefully monitored and watched. If it gets bigger, it will require excision. Unclear why you have the cyst, but could represent a remote issue of no current consequence, but this too should be followed. Best to see an experienced neurosurgeon and set up plan of action. ...Read more

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If an acoustic neuroma comes back, does that mean it’s a cancer?

If an acoustic neuroma comes back, does that mean it’s a cancer?

Usually not: Recurrence usually means some tumor was left behind and not removed from the first surgery. This can occur if a lot was left behind (macroscopic residual, recurrence more frequent), or even a tiny amount was left behind (microscopic residual, recurrence less frequent). Malignant acoustics are extremely rare and most often occur after prior radiation treatment for a benign acoustic neuroma. ...Read more

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What cause balance problem except acoustic neuroma?

Dizziness: There is a long list of ear related issues that cause balance problems, neurologic, cardiovascular, circulatory, metabolic/hormonal problems also can cause dizziness/lightheadedness/balance issues. Acoustic neuroma is a rare condition so lots of other things to check and consider first. ...Read more

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Can a mastoid tumor turn into an acoustic neuroma?

Can a mastoid tumor turn into an acoustic neuroma?

No: Completely different issues. An acoustic neuroma is a benign growth of the hearing/balance nerve. The mastoid is an air containing space connected to the middle ear. ...Read more

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Does an MRI with contrast always detect acoustic neuroma?

99% plus: An MRI with contrast of the internal auditory canals will pick up 99% of acoustic neuromas. Not perfect, but very close. Tiny acoustics can be missed. ...Read more

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Could acoustic neuroma cause permanent hearing loss?

Yes: The majority cause unilateral or asymmetric hearing loss as the first and sometimes only symptom. This hearing loss is always permanent. ...Read more

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Is a gamma knife a good treatment for acoustic neuroma?

Depends: Gk can be a great treatment option for an. Many times it is not. It depends on the size and location of tumor, how quickly it's growing, risks of surgery, prior radiation treatment, many many factors. I do both surgery and gammaknife for my patients with acoustics, and each treatment plan is tailored to the specific details of that patient's tumor and overall health. ...Read more

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My acoustic neuroma has come back. Is it possible that it could be cancer this time?

Rarely: If you had surgical removal and tumor persists or recurs, there is almost no chance it would be malignant.

If it has grown after treatment with radiation, there is approximately a 1:1000 chance it could have malignant transformation. ...Read more

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Can having a regular routine MRI of the head with contrast show an acoustic neuroma?

Can having a regular routine MRI of the head with contrast show an acoustic neuroma?

Yes: If they know beforehand to look for it then they can narrow the scan to that area but overall they should be able to see it but a reminder beforehand definitely will help them look for it ...Read more

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What are the chances of sudden tinnitus in one ear being "acoustic neuroma"?

Not likely: Acoustic neuroma is a very slow-growing tumor. Not likely at your age. Are you suffering from intermittent vertigo? Having any hearing loss? Exposure to loud noises? Taken any medications (High dose aspirin can cause tinnitus. Tinnitus is also a rare side effect of hydrocodone/tylenol)? Tinnitus is common, and difficult to treat. If no improvement in a month or two, see an ENT specialist. ...Read more

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Can you tell me about acoustic neuroma?

Can you tell me about acoustic neuroma?

Benign tumor: Acoustic neuroma is a benign tumor that usually originates from the vestibular (balance) nerve. Treatment options include observation, surgery, or radiation depending on the symptoms, age of the patient, and growth of the lesion. See a neurotologist for full evaluation or a neurosurgeon that deals with these lesions on a regular basis. ...Read more

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Can you tell me about an acoustic neuroma?

Can you tell me about an acoustic neuroma?

Benign tumor: Acoustic neuroma is a benign tumor that usually originates from the vestibular (balance) nerve. Treatment options include observation, surgery, or radiation depending on the symptoms, age of the patient, and growth of the lesion. See a neurotologist for full evaluation or a neurosurgeon that deals with these lesions on a regular basis. ...Read more

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How do doctors diagnose acoustic neuroma?

Function/Imaging: Modalities can typically be divided into two categories:

1.) imaging - ct or MRI (with contrast) can be used to visualize tumors in detail.

2.) functional tests - audiometry and brainstem auditory evoked responses assess the integrity of the vestibulocochlear cranial nerve by analyzing how the brain responses to test sounds. ...Read more

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If acoustic neuroma not treated, will it grow bigger and bigger and shows itself on the skin/upper skin?

No: An acoustic neuroma occurs deep within the skull in the internal auditory canal allong the course of the 8th cranial nerve. It grows inward, not toward the skin. Symptoms are decreased hearing, ringing of the ears, and balance troubles. They are usually slow-growing but can cause major trouble if untreated for a long time.
There are other types of neuromas that cause lumps in the skin. ...Read more

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What is the treatment for acoustic neuroma?

Several: Acoustic neuromas are treated with observation, surgery or radiation, depending on the tumors size, the patients symptoms, and the age of the patient. ...Read more

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What are the treatments for acoustic neuroma?

What are the treatments for acoustic neuroma?

See neurotologist: Acoustic neuromas are benign rumors that may be trusted with observation, surgery or radiation depending on patients age, size of tumor and amount of hearing present in affected ear. ...Read more

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Are there treatment guidelines for acoustic neuroma?

Yes: Acoustic neuroma is usually managed by otolaryngology and neurosurgery. Small tumors less than 1 cm are usually followed with serial head mris. These tumors can be treated with radiosurgery or open surgery if they are growing or large and causing pressure on local structures. The loss of hearing means the surgical options expand somewhat. The main goal of treatment is to preserve facial function. ...Read more

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Does an MRI with contrast find an acoustic neuroma?

Yes: Mri with gadolinium is very sensitive in evaluation for acoustic neuroma and is the study of choice. ...Read more

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My doc says I've got acoustic neuroma. What does this mean?

8th CN tumor: An acoustic neuroma is a tumor of the eighth cranial nerve, the nerve that subserves hearing and balance. These tumors are usually nonmalignant. They can be associated with other conditions (neurofibromatosis), a thorough physical examination including a black lite exam is needed. Early surgical removal is advised as facial nerve function can be preserved. See my previous answer on acoustic neuroma. ...Read more

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Which treatment works the best and fastest for acoustic neuroma?

Microsurgery: The goal of treatment is to preserve neurologic function and cure the tumor. Microsurgery is highly effective. Facial nerve function can be preserved in ~95 % of patients if the tumor is < than 2cm but in less than 50 % if the tumor is > than 3cm. Radiosurgery is an alternative in tumors < than 3cm with local control achieved in~ 90%. You must see an experienced neurosurgeon in an experienced ctr. ...Read more

Dr. Jeffrey Kass
388 Doctors shared insights

Neuroma (Definition)

Neuroma = a tumor / mass that ...Read more


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