An acoustic neuroma is a tumor that grows on the nerve of the ear. This nerve runs from your brainstem to the ear and plays a role in hearing and in maintaining your balance. This is a benign tumor, which means it is not cancerous. However, this condition can still cause serious problems if the tumor is large enough to put pressure on your brainstem.
A tumor is caused by the abnormal growth of cells. This growth is determined by genes of the cells. An acoustic neuroma is caused by a problem with specific genes. It is not clear what causes the problem with the genes. Some environmental factors may play a role.
Acoustic neuroma is most common in people aged 30-60 years old. Factors that may increase your chance of acoustic neuroma include:
As the neuroma grows larger, symptoms may include:
Facial numbness and tingling
Weakness of the facial muscles on the side of the tumor
If headaches or mental confusion occur, the tumor may be life threatening. Call your doctor right away.
You will be asked about your symptoms and medical history. Your ears will be examined. Tests of your nervous system will also be done. There are a number of conditions that can affect your hearing, including the very common ear infection. Acoustic neuroma may only be diagnosed after results from tests such as:
Treatment depends on your age, general health, the size and location of the tumor, and its rate of growth. Treatment may include:
Tumors may stay very small and cause few problems. In this case, the tumor may not need treatment. The doctor will monitor it for any changes. This is approach is common among people over age 70.
If the tumor is causing problems or is growing large it may need to be removed. The type of surgery depends on the size and location of the tumor. Complications of surgery may include permanent hearing loss and/or paralysis of facial muscles on the affected side.
is the use of radiation to kill cells and shrink tumors. It may also stop further growth of the tumor. Radiation may be used when tumors are small and surgery is not possible. This method may preserve hearing. The radiation may be given over several treatments or as 1 large dose.
A procedure called
may be used.
This surgery uses a focused beam of radiation to destroy tumor tissue in and around the brain.
There are no current guidelines to prevent acoustic neuroma.
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