Acoustic neuromas (vestibular schwannomas) are slow-growing, benign, intracranial, extra-axial tumors originating from the vestibulocochlear nerve.
3,000 diagnosed annually in the United States
Patients with NF2-associated vestibular schwannomas tend to have higher rates of surgical complications, treatment costs, and hospital stays compared to sporadic cases.
Acoustic neuromas in children typically grow at slower rates compared to adults; this affects treatment outcomes.
A greater understanding of molecular tumorigenesis has yielded novel therapies. Suggested therapies:
All tumors should at least be monitored, even if asymptomatic.
Observation is suitable for elderly patients with contraindications to surgery and radiotherapy: Observation is more likely to preserve hearing than radiotherapy or surgery. If the patient has dizziness related to the tumor, treatment may be indicated to prevent falls.
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