Adrien A. Eshraghi, MD, MSc, FACS

Symptoms

The symptoms of acoustic neuroma can vary widely due to its location and size. Common signs include:
• Gradual hearing loss in one ear (90% of patients)
• Tinnitus (ringing in the affected ear)
• Balance problems and dizziness
• Facial numbness or weakness
• Headaches
• Vision issues, such as blurred or double vision
• Difficulty with coordination
• Swallowing or speech problems in advanced cases
It’s important to note that symptoms often develop slowly over time, making early diagnosis challenging.

Diagnosis

Acoustic neuromas are typically diagnosed through:
• Hearing tests (audiometry)
• Imaging studies, primarily MRI with contrast dye
• Balance tests (electronystagmography)

Treatment Options

Treatment for acoustic neuroma depends on various factors, including tumor size, growth rate, and patient health. The main approaches are:
1. Observation (Wait and Scan): For small, slow-growing tumors or in older patients.
2. Microsurgery: Surgical removal of the tumor, which may be recommended for larger tumors or those causing significant symptoms.
3. Radiation Therapy: Including stereotactic radiosurgery (e.g., Gamma Knife, CyberKnife) for smaller tumors or patients who are not surgical candidates.

Prognosis and Follow-Up

With modern treatment methods, the outlook for patients with acoustic neuroma is generally favorable. However, long-term follow-up is essential, including regular MRI scans and hearing tests, to monitor for any tumor regrowth or changes in symptoms.

Support and Resources

Patients and their families can benefit from support groups and educational resources provided by organizations like the Acoustic Neuroma Association (ANA). These groups offer valuable information, emotional support, and opportunities to connect with others facing similar challenges.