An acoustic neuroma, also known as vestibular schwannoma, is a noncancerous tumor that develops from the Schwann cells encasing the vestibulocochlear nerve, responsible for hearing and balance. Characterized by its slow growth, small tumors may remain asymptomatic, while larger tumors can cause significant health challenges. Residents of Los Angeles can find specialized care for acoustic neuromas at the Atlas Institute of Brain and Spine, where Dr. Aaron Cohen-Gadol, the founder and president of the institute and known worldwide for performing highly complex brain tumor surgeries, utilizes advanced techniques to offer tailored treatment solutions.
Dr. Cohen took care of my son who had an AVM (Arteriovenous Malformation). Dr. Cohen recommended surgical removal, which was not what neurosurgeons we had seen before recommended. It was a shock, but he walked us through all the options and why he felt surgery was best.
Our son’s case was very complicated and Dr. Cohen was always kind, caring and compassionate. He successfully performed a very intricate surgery that removed the AVM and our son is doing so well! I can’t imagine having any other neurosurgeon!
How Acoustic Neuromas Affect Your Hearing and Balance
Acoustic neuromas can significantly impact hearing and balance. On the affected side, patients may experience gradual hearing loss, most commonly noticed during phone conversations. Tinnitus, or ringing in the ear, is another frequent symptom. As the tumor grows, balance issues may arise due to pressure on nearby structures, highlighting the importance of early detection and management.
What Symptoms Indicate an Acoustic Neuroma
Symptoms of an acoustic neuroma can vary based on tumor size. Common indicators include:
- Unilateral hearing loss
- Tinnitus (ringing in the ears)
- Difficulties with balance
- Facial weakness or numbness
It’s crucial to seek medical evaluation if you experience these symptoms.
Key Diagnostic Tests for Acoustic Neuroma
Diagnosing acoustic neuromas typically involves an MRI scan, which provides detailed images of the brain and can reveal the tumor’s size and location. Audiograms assess hearing function, while an auditory brainstem response test evaluates nerve conduction. These diagnostic tools ensure accurate identification of acoustic neuromas, guiding appropriate treatment strategies.
Exploring Treatment Options for Acoustic Neuromas
Treatment options for acoustic neuromas are individualized based on tumor size, symptoms, and patient health. Common approaches include:
- Observation for small, asymptomatic tumors, with approximately 50% of such tumors showing no significant growth over five years.
- Surgery for larger tumors or those causing significant symptoms, with high rates of complete tumor removal.
- Radiation therapy for patients who may not be candidates for surgery, effective in controlling tumor growth.
Each treatment option carries its own risks and benefits, and Dr. Cohen-Gadol discusses these thoroughly with patients to ensure informed decision-making.
How Surgery Addresses Acoustic Neuromas
Surgery is often recommended for larger tumors that threaten surrounding structures. The primary goals of surgical intervention are to remove the tumor while preserving facial nerve function and hearing, whenever possible.
The surgical techniques employed by Dr. Cohen-Gadol include:
- Translabyrinthine approach
- Retrosigmoid approach
- Middle fossa approach
Each method is selected based on the unique circumstances of the patient’s condition and tumor characteristics.
Radiation Therapy’s Role in Acoustic Neuroma Management
Radiation therapy is a valuable option for treating acoustic neuromas, particularly when surgery poses significant risks. The two primary forms of radiation treatment are:
- Radiosurgery, which delivers a single high dose of targeted radiation and has tumor control rates of 95-98%.
- Fractionated radiotherapy, which involves multiple smaller doses administered over several weeks, aiming to stop growth.
This noninvasive approach may help halt the tumor’s growth, and regular MRI follow-ups are essential to monitor the treatment’s effectiveness.
Long-Term Recovery and Prognosis for Patients
The recovery outlook for patients varies based on treatment choice and tumor characteristics. Many patients who undergo surgery experience significant improvements in symptoms and quality of life, emphasizing the dedicated care provided by Dr. Cohen-Gadol, who has performed over 7,500 complex brain surgeries and is committed to the well-being of his patients. Regular follow-up appointments are advised to monitor for any potential recurrence or complications.
Frequently Asked Questions About Acoustic Neuroma
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If untreated, larger tumors can compress surrounding nerves, leading to increased symptoms and potential complications.
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Patients typically stay in the hospital for 3 to 5 days, with a full recovery taking about 4 to 6 weeks, depending on individual circumstances.
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In some cases, tumors can recur, which is why regular follow-ups with MRI scans are important for monitoring.
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Radiation therapy can effectively stop tumor growth, although it does not eliminate the tumor. Patients often require yearly monitoring.
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Many patients report improved quality of life after treatment, though some may experience ongoing issues that may require additional support.
The Atlas Institute’s Commitment to Your Care
The Atlas Institute of Brain and Spine, led by Dr. Aaron Cohen-Gadol, combines cutting-edge surgical techniques and compassionate care. Here’s why patients trust us with their acoustic neuroma treatment:
- Over 7,500 complex brain surgeries performed
- Expertise in minimally invasive surgical techniques
- Personalized treatment plans tailored to each patient’s needs
- Global reputation for addressing previously inoperable cases
- Commitment to preserving neurological function and individualizing treatment planning
Schedule Your Consultation Today
If you or a loved one is facing an acoustic neuroma diagnosis, reach out to the Atlas Institute of Brain and Spine in Los Angeles for expert guidance and care. Dr. Aaron Cohen-Gadol, renowned for his extensive experience and compassionate approach, including being awarded the Health Care Hero of the Year, is ready to help you navigate your treatment options. Don’t wait—schedule your consultation today and take the first step toward restoring your health.
