Acoustic Neuroma: What causes it? Symptoms and treatments

Acoustic Neuroma: What causes it? Symptoms and treatments

According to a 2020 ReviewThe journal Neuro-Oncology published a list of options available to patients for treating an acoustic nerve tumor. Based on the tumor’s size and morphology, as well as the patient’s preferences and comorbidities, doctors may suggest different treatment strategies. You have the option of either observational or stereotactic radiosurgery.

Also known as “watch and wait”, observational management can also be called watch and wait. This is where doctors monitor for tumor growth and listen out for speech discrimination. This is an excellent option for patients who can comply with follow up testing. Patients with conservative management had better outcomes for their hearing and facial nerves than patients who were treated with radiosurgery or surgery. Patients who had surgery reported better quality of living.

Stereotactic radiosurgery is a method that uses large doses of radiation to selectively treat an acoustic neuralma. It does not damage nearby tissue. It works best for small and medium-sized acoustic neurons. It is the best treatment for tumors smaller than 3 centimeters in diameter. It preserves hearing and facial nerve function.

There are three main options for surgery: the retrosigmoid and middle fossa approaches. Based on the patient’s hearing condition, tumor characteristics, preference and surgeon’s experience, surgeons will recommend which option is best for them. Surgery’s success is influenced by the surgeon’s expertise. Patients should look for a high volume center that offers acoustic neurology.

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