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Acoustic Neuroma — Overview, Symptoms, Treatments, and Other Resources.
Acoustic Neuroma (also known as Vestibular Schwannoma, Acoustic Neurinoma, and Acoustic Neurilemoma)
Comprehensive Guides
What is Acoustic Neuroma (Vestibular Schwannoma)? Information from the National Institute on Deafness and Other Communication Disorders
A vestibular schwannoma (also known as acoustic neuroma, acoustic neurinoma, or acoustic neurilemoma) is a benign, usually slow-growing tumor that develops from the balance and hearing nerves supplying the inner ear. See more from the National Institute on Deafness and Other Communication Disorders, National Institutes of Health.

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Acoustic Neuroma - MayoClinic.com
Information on acoustic neuroma from MayoClinic.com.

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Acoustic Neuroma Information at Johns Hopkins Medicine
Acoustic neuromas (vestibular schwannomas) are benign Schwann cell tumors that typically arise from the vestibular portion of the eighth cranial nerve. The acoustic neuroma is the most common tumor of the cerebellopontine angle. Read more at Johns Hopkins Medicine.

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Fact Sheets, Tutorials, Interactive Tools, and other Interesting Information
Comparing Management Options for Acoustic Neuroma Patients
A patient with acoustic neuroma has several treatment options including observation, surgical resection, stereotactic radiosurgery, and fractionated radiotherapy. Many patients choose between radiosurgery and resection based on their own specific goals and their understanding of possible results. More at the Department of Neurosugery, University of Pittsburgh.

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Study Finds Radiosurgery Effective for Acoustic Tumors.
University of Pittsburgh researchers have found that stereotactic radiosurgical treatment of acoustic tumors provides long-term tumor control, high rates of neurologic function preservation and patient satisfaction… See the UPMC press release.

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Videos and Podcasts
Video Video: Endoscopic Retromastoid Surgery
Watch Dr. Hrayr Shahinian perform this surgery at the Skull Base institute.

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Video Video: Gamma Knife Surgery
View this instructional video for patients in gamma knife surgery presented at the Department of Neurological Surgery, University of Pittsburgh. (requires RealMedia playback)

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Clinical Practice Guidelines
Stereotactic radiosurgery for patients with vestibular schwannomas.
Vestibular schwannomas are considered suitable for various management strategies such as observation with serial imaging, stereotactic radiosurgery, and surgical excision. See National Guideline Clearinghouse major recommendations.

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Important Articles from Medical Journals
Abstract: Surgical approaches and complications in the removal of vestibular schwannomas.
Vestibular schwannomas are benign tumors that usually originate from the balance portion of cranial nerve VIII. The treatment options currently available for vestibular schwannomas include observation with serial imaging, stereotactic radiation, and microsurgical removal. See Abstract at PubMed.

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Abstract: Radiosurgery for acoustic neuromas: results of low-dose treatment.
The results of radiosurgical treatment of acoustic neuromas have improved by reducing the tumor marginal doses. We report relatively long-term follow-up results (>5 yr) for patients who underwent low-dose radiosurgery. See Abstract at PubMed.

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Abstract: Vestibular schwannoma: surgery or gamma knife radiosurgery? A prospective, nonrandomized study.
OBJECTIVE: To conduct a prospective, open, nonrandomized study of treatment-associated morbidity in patients undergoing microsurgery or gamma knife radiosurgery (GKRS) for vestibular schwannomas. See Abstract at PubMed.

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Abstract: Repeated treatment of vestibular schwannomas after gamma knife radiosurgery.
PURPOSE: When gamma knife radiosurgery (GKS) does not achieve control of the growth of a tumour, the need to repeat treatment is considered. The results and risks of repeat treatment of patients with a vestibular schwannoma were reviewed to assess its efficacy and safety. See Abstract at PubMed.

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Abstract: Facial nerve preservation after vestibular schwannoma Gamma Knife radiosurgery.
Facial nerve preservation is a critical measure of clinical outcome after vestibular schwannoma treatment. Gamma Knife radiosurgery has evolved into a practical treatment modality for vestibular schwannoma patients, with several reported series from a variety of centers. See Abstract at PubMed.

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Abstract: Gamma knife radiosurgery for vestibular schwannomas: results of hearing preservation in relation to the cochlear radiation dose.
This study was designed to evaluate hearing preservation after gamma knife radiosurgery (GKRS) and to determine the relation between hearing preservation and cochlear radiation dose in patients with a sporadic vestibular schwannoma (VS). See Abstract at PubMed.

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Abstract: Translabyrinthine approach for the management of large and giant vestibular schwannomas.
The removal of large vestibular schwannomas through the translabyrinthine approach is still controversial. See Abstract at PubMed.

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Abstract: Surgery combined with radiosurgery of large acoustic neuromas.
The treatment of acoustic neuromas has been improved by advancements in microsurgical techniques and in radiosurgery. To further elucidate the degree of clinical improvement, we evaluated the treatment results of a combination of surgery and radiosurgery for large acoustic neuromas. See Abstract at PubMed.

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Abstract: Management of acoustic neuromas in patients 65 years or older.
OBJECTIVE: To analyze an optimal management protocol for patients 65 years or older at the time of acoustic neuroma diagnosis. See Abstract at PubMed.

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Abstract: Conservative management of 386 cases of unilateral vestibular schwannoma: tumor growth and consequences for treatment.
OBJECTIVE: The object of this study was to evaluate the natural history, pattern, and occurrence of tumor growth and its consequences for treatment of small-sized vestibular schwannomas (VSs). See Abstract at PubMed.

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Abstract: Growth inhibitory and anti-tumour activities of OSU-03012, a novel PDK-1 inhibitor, on vestibular schwannoma and malignant schwannoma cells.
Vestibular schwannomas (VS) frequently express high levels of activated AKT. Small-molecule inhibitors of AKT signalling may have therapeutic potential in suppressing the growth of benign VS and malignant schwannomas. See Abstract at PubMed.

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Abstract: Headache syndromes after acoustic neuroma surgery and their implications for quality of life.
The patients of this prospective study were analysed for headache as a sequela of surgery for acoustic neuroma (AN). Thirty-two per cent (30/95) of patients complained about a persisting headache syndrome with a severity of at least 6/10 on the nominal analogue scale 6 months after surgery. See Abstract at PubMed.

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Abstract: The effect of early customized vestibular rehabilitation on balance after acoustic neuroma resection.
OBJECTIVE: To compare the effect of early customized vestibular rehabilitation with general instructions in patients after acoustic neuroma surgery. See Abstract at PubMed.

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Abstract: Patients' quality of life, reported difficulties, and benefits following surgery for acoustic neuroma.
OBJECTIVES: We compared the quality of life of patients with acoustic neuroma (AN) with general population controls and other chronic illness patients. We also examined the types and significance of ongoing difficulties reported by AN patients and the types of positive benefits following their surgery. See Abstract at PubMed.

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This illustration shows a tiny acoustic neuroma(BLUE) within the internal auditory canal (YELLOW).
Source: Delaware Biotechnology Institute

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