Cranial Nerve Preservation in Surgery for Large Acoustic Neuromas

Acoustic Neuromas.

Patients with acoustic neuromas have several treatment options that include observation, surgical resection, stereotactic radiosurgery, and fractionated radiotherapy. Resection is indicated for patients with larger tumors that have caused major neurologic deficits from brain compression. Surgeons perform stereotactic radiosurgery as the main alternative to acoustic tumor resection with the goal...

Acoustic neuromas in children.

Although unilateral acoustic neuromas in children are rare, they do occur. There is no gender predilection and the clinical symptoms and signs are similar to those seen in adults. They tend to occur in the absence of neurofibromatosis and are usually benign. Our patient is the youngest yet reported with documented unilateral acoustic neuroma; moreover; she is the first child in whom this tumor ...

Bilateral 'acoustic' neuromas.

Cystic acoustic neuromas.

Predominantly cystic acoustic neuromas are rare and they usually present with clinical and radiological features different from their more common solid counterparts. Two cases of cystic acoustic neuromas are reported here.

Surgical management of large acoustic neuromas: a review.

Acoutic neuromas operated at UMMC from 2001 to 2006 were retrospectively reviewed. There were a total of 27 cases. All tumors were large, measuring more than 2 cm. Hearing loss was the most common presenting symptom (63%), followed by headache (52%), dysequilibrium (30%), facial numbness (30%), tinnitus (26%) and gait disturbances (15%). Eleven (41%) of patients had hydrocephalus at the time of...