BACK TOTOP Browse A-ZSearchBrowse A-ZABCDEFGHIJKLMNOPQRSTUVWXYZ0-9 E-mail FormEmail ResultsName:Email address:Recipients Name:Recipients address:Message: Print-FriendlyBookmarksbookmarks-menuAcoustic neuromaVestibular schwannoma; Tumor - acoustic; Cerebellopontine angle tumor; Angle tumor; Hearing loss - acoustic; Tinnitus - acousticAn acoustic neuroma is a slow-growing tumor of the nerve that connects the ear to the brain. This nerve is called the vestibular cochlear nerve. It is behind the ear, right under the brain.An acoustic neuroma is a benign tumor. This means that it does not spread to other parts of the body. However, it can damage several important nerves as it grows. Causes Acoustic neuromas have been linked with the genetic disorder neurofibromatosis type 2 (NF2).Neurofibromatosis type 2Neurofibromatosis 2 (NF2) is a disorder in which tumors form on the nerves of the brain and spine (the central nervous system). It may be passed dow...ImageRead Article Now Book Mark Article Acoustic neuromas are uncommon. Symptoms The symptoms vary, based on the size and location of the tumor. Because the tumor grows so slowly, symptoms most often start after age 30.Common symptoms include: Abnormal feeling of movement (vertigo) VertigoDizziness is a term that is often used to describe 2 different symptoms: lightheadedness and vertigo. Lightheadedness is a feeling that you might fai...ImageRead Article Now Book Mark Article Hearing loss in the affected ear that makes it hard to hear conversations Hearing lossHearing loss is being partly or totally unable to hear sound in one or both ears.ImageRead Article Now Book Mark Article Ringing (tinnitus) in the affected ear TinnitusTinnitus is the medical term for "hearing" noises in your ears. It occurs when there is no outside source of the sounds. Tinnitus is often called "r...ImageRead Article Now Book Mark Article Less common symptoms include:Difficulty understanding speech Dizziness DizzinessDizziness is a term that is often used to describe 2 different symptoms: lightheadedness and vertigo. Lightheadedness is a feeling that you might fai...ImageRead Article Now Book Mark Article Headache Loss of balance Loss of balanceDizziness is a term that is often used to describe 2 different symptoms: lightheadedness and vertigo. Lightheadedness is a feeling that you might fai...ImageRead Article Now Book Mark Article Numbness in the face or one ear NumbnessNumbness and tingling are abnormal sensations that can occur anywhere in your body, but they are often felt in your fingers, hands, feet, arms, or le...ImageRead Article Now Book Mark Article Pain in the face or one ear Pain in the faceFace pain may be dull and throbbing or an intense, stabbing discomfort in the face or forehead. It can occur in one or both sides.Read Article Now Book Mark Article Weakness of the face or facial asymmetry Exams and Tests The health care provider may suspect an acoustic neuroma based on your medical history, an exam of your nervous system, or tests.Often, the physical exam is normal when the tumor is diagnosed. Sometimes, the following signs may be present:Decreased feeling on one side of the face Drooping on one side of the face DroopingFacial paralysis means that a person is no longer able to move some or all of the muscles on one or both sides of the face.ImageRead Article Now Book Mark Article Unsteady walkUnsteady walkWalking abnormalities can be caused by many different types of problems. Problems with the joints, (such as arthritis), bones (such as deformities),...ImageRead Article Now Book Mark Article The most useful test to identify an acoustic neuroma is an MRI of the brain. Other tests to diagnose the tumor and tell it apart from other causes of dizziness or vertigo include:MRI of the brainA head MRI (magnetic resonance imaging) is an imaging test that uses powerful magnets and radio waves to create pictures of the brain and surrounding...ImageRead Article Now Book Mark Article Hearing test Test of equilibrium and balance (electronystagmography) ElectronystagmographyElectronystagmography is a test that looks at eye movements to see how well nerves in the brain are working. These nerves are:Vestibular nerve (eigh...Read Article Now Book Mark Article Test of hearing and brainstem function (brainstem auditory evoked response) Treatment Treatment depends on the size and location of the tumor, your age, and your overall health. You and your provider must decide whether to watch the tumor without treatment, use radiation treatment to stop it from growing, or try to remove it.Many acoustic neuromas are small and grow very slowly. Small tumors with few or no symptoms may be watched for changes, especially in older people. Regular MRI scans will be done.If not treated, some acoustic neuromas can:Damage the nerves involved in hearing and balance Place pressure on nearby brain tissue Harm the nerves responsible for movement and feeling in the face Lead to a buildup of fluid (hydrocephalus) in the brain (with very large tumors)HydrocephalusHydrocephalus is a buildup of fluid inside the skull that leads to the brain pushing against the skull. Hydrocephalus means "water on the brain. "...ImageRead Article Now Book Mark Article Removing an acoustic neuroma is more commonly done for:Larger tumors Tumors that are causing symptoms Tumors that are growing quickly Tumors that are pressing on the brain Surgery or a type of radiation treatment is done to remove the tumor and prevent other nerve damage. Depending on the type of surgery performed, hearing can sometimes be preserved.The surgical technique to remove an acoustic neuroma is called microsurgery. A special microscope and small, precise instruments are used. This technique offers a higher chance of cure. Stereotactic radiosurgery focuses high-powered x-rays on a small area. It is a form of radiation therapy, not a surgical procedure. It may be used to slow down or stop the growth of tumors that are hard to remove with surgery. It may also be done to treat people who are unable to have surgery, such as older adults or people who are very sick.Stereotactic radiosurgeryStereotactic radiosurgery (SRS) is a form of radiation therapy that focuses high-power energy on a small area of the body. Despite its name, radiosu...Read Article Now Book Mark Article Removing an acoustic neuroma can damage nerves. This may cause loss of hearing or weakness in the face muscles. This damage is more likely to occur when the tumor is large. Outlook (Prognosis) An acoustic neuroma is not cancer. The tumor does not spread to other parts of the body. However, it may continue to grow and press on structures in the skull.People with small, slow-growing tumors may not need treatment.Hearing loss present before treatment is not likely to return after surgery or radiosurgery. In cases of smaller tumors, hearing loss that occurs after surgery may return.Most people with small tumors will have no permanent weakness of the face after surgery. However, people with large tumors are more likely to have some permanent weakness of the face after surgery.Signs of nerve damage such as loss of hearing or weakness of the face may be delayed after radiosurgery. In most cases, brain surgery can completely remove the tumor. When to Contact a Medical Professional Contact your provider if you have:Hearing loss that is sudden or getting worse Ringing in one ear Dizziness (vertigo)Open ReferencesReferencesArriaga MA, Brackmann DE. Neoplasms of the posterior fossa. In: Flint PW, Francis HW, Haughey BH, et al, eds. Cummings Otolaryngology: Head and Neck Surgery. 7th ed. Philadelphia, PA: Elsevier; 2021:chap 179.DeAngelis LM. Tumors of the central nervous system. In: Goldman L, Schafer AI, eds. Goldman-Cecil Medicine. 26th ed. Philadelphia, PA: Elsevier; 2020:chap 180.Juraschka K, Kumar SA, Taylor MD. Genetics of pediatric brain tumors. In: Winn HR, ed. Youmans and Winn Neurological Surgery. 8th ed. Philadelphia, PA: Elsevier; 2023:chap 231.AllVideoImagesTogCentral nervous system and peripheral nervous system - illustration The central nervous system comprises the brain and spinal cord. The peripheral nervous system includes nerves outside the brain and spinal cord.Central nervous system and peripheral nervous systemillustrationCentral nervous system and peripheral nervous system - illustration The central nervous system comprises the brain and spinal cord. The peripheral nervous system includes nerves outside the brain and spinal cord.Central nervous system and peripheral nervous systemillustrationRelated Information Benign(Special Topic)Tumor(Condition)Neurofibromatosis 2(Condition)Stereotactic radiosurgery - CyberKnife(Surgery)Proton therapy(Special Topic)Brain surgery - discharge(Discharge)Stereotactic radiosurgery - discharge (Discharge)Brain tumors - primary - InDepth(In-Depth) Review Date: 5/30/2022 Reviewed By: Josef Shargorodsky, MD, MPH, Johns Hopkins University School of Medicine, Baltimore, MD. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team. The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. 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Acoustic neuromaVestibular schwannoma; Tumor - acoustic; Cerebellopontine angle tumor; Angle tumor; Hearing loss - acoustic; Tinnitus - acousticAn acoustic neuroma is a slow-growing tumor of the nerve that connects the ear to the brain. This nerve is called the vestibular cochlear nerve. It is behind the ear, right under the brain.An acoustic neuroma is a benign tumor. This means that it does not spread to other parts of the body. However, it can damage several important nerves as it grows. Causes Acoustic neuromas have been linked with the genetic disorder neurofibromatosis type 2 (NF2).Neurofibromatosis type 2Neurofibromatosis 2 (NF2) is a disorder in which tumors form on the nerves of the brain and spine (the central nervous system). It may be passed dow...ImageRead Article Now Book Mark Article Acoustic neuromas are uncommon. Symptoms The symptoms vary, based on the size and location of the tumor. Because the tumor grows so slowly, symptoms most often start after age 30.Common symptoms include: Abnormal feeling of movement (vertigo) VertigoDizziness is a term that is often used to describe 2 different symptoms: lightheadedness and vertigo. Lightheadedness is a feeling that you might fai...ImageRead Article Now Book Mark Article Hearing loss in the affected ear that makes it hard to hear conversations Hearing lossHearing loss is being partly or totally unable to hear sound in one or both ears.ImageRead Article Now Book Mark Article Ringing (tinnitus) in the affected ear TinnitusTinnitus is the medical term for "hearing" noises in your ears. It occurs when there is no outside source of the sounds. Tinnitus is often called "r...ImageRead Article Now Book Mark Article Less common symptoms include:Difficulty understanding speech Dizziness DizzinessDizziness is a term that is often used to describe 2 different symptoms: lightheadedness and vertigo. Lightheadedness is a feeling that you might fai...ImageRead Article Now Book Mark Article Headache Loss of balance Loss of balanceDizziness is a term that is often used to describe 2 different symptoms: lightheadedness and vertigo. Lightheadedness is a feeling that you might fai...ImageRead Article Now Book Mark Article Numbness in the face or one ear NumbnessNumbness and tingling are abnormal sensations that can occur anywhere in your body, but they are often felt in your fingers, hands, feet, arms, or le...ImageRead Article Now Book Mark Article Pain in the face or one ear Pain in the faceFace pain may be dull and throbbing or an intense, stabbing discomfort in the face or forehead. It can occur in one or both sides.Read Article Now Book Mark Article Weakness of the face or facial asymmetry Exams and Tests The health care provider may suspect an acoustic neuroma based on your medical history, an exam of your nervous system, or tests.Often, the physical exam is normal when the tumor is diagnosed. Sometimes, the following signs may be present:Decreased feeling on one side of the face Drooping on one side of the face DroopingFacial paralysis means that a person is no longer able to move some or all of the muscles on one or both sides of the face.ImageRead Article Now Book Mark Article Unsteady walkUnsteady walkWalking abnormalities can be caused by many different types of problems. Problems with the joints, (such as arthritis), bones (such as deformities),...ImageRead Article Now Book Mark Article The most useful test to identify an acoustic neuroma is an MRI of the brain. Other tests to diagnose the tumor and tell it apart from other causes of dizziness or vertigo include:MRI of the brainA head MRI (magnetic resonance imaging) is an imaging test that uses powerful magnets and radio waves to create pictures of the brain and surrounding...ImageRead Article Now Book Mark Article Hearing test Test of equilibrium and balance (electronystagmography) ElectronystagmographyElectronystagmography is a test that looks at eye movements to see how well nerves in the brain are working. These nerves are:Vestibular nerve (eigh...Read Article Now Book Mark Article Test of hearing and brainstem function (brainstem auditory evoked response) Treatment Treatment depends on the size and location of the tumor, your age, and your overall health. You and your provider must decide whether to watch the tumor without treatment, use radiation treatment to stop it from growing, or try to remove it.Many acoustic neuromas are small and grow very slowly. Small tumors with few or no symptoms may be watched for changes, especially in older people. Regular MRI scans will be done.If not treated, some acoustic neuromas can:Damage the nerves involved in hearing and balance Place pressure on nearby brain tissue Harm the nerves responsible for movement and feeling in the face Lead to a buildup of fluid (hydrocephalus) in the brain (with very large tumors)HydrocephalusHydrocephalus is a buildup of fluid inside the skull that leads to the brain pushing against the skull. Hydrocephalus means "water on the brain. "...ImageRead Article Now Book Mark Article Removing an acoustic neuroma is more commonly done for:Larger tumors Tumors that are causing symptoms Tumors that are growing quickly Tumors that are pressing on the brain Surgery or a type of radiation treatment is done to remove the tumor and prevent other nerve damage. Depending on the type of surgery performed, hearing can sometimes be preserved.The surgical technique to remove an acoustic neuroma is called microsurgery. A special microscope and small, precise instruments are used. This technique offers a higher chance of cure. Stereotactic radiosurgery focuses high-powered x-rays on a small area. It is a form of radiation therapy, not a surgical procedure. It may be used to slow down or stop the growth of tumors that are hard to remove with surgery. It may also be done to treat people who are unable to have surgery, such as older adults or people who are very sick.Stereotactic radiosurgeryStereotactic radiosurgery (SRS) is a form of radiation therapy that focuses high-power energy on a small area of the body. Despite its name, radiosu...Read Article Now Book Mark Article Removing an acoustic neuroma can damage nerves. This may cause loss of hearing or weakness in the face muscles. This damage is more likely to occur when the tumor is large. Outlook (Prognosis) An acoustic neuroma is not cancer. The tumor does not spread to other parts of the body. However, it may continue to grow and press on structures in the skull.People with small, slow-growing tumors may not need treatment.Hearing loss present before treatment is not likely to return after surgery or radiosurgery. In cases of smaller tumors, hearing loss that occurs after surgery may return.Most people with small tumors will have no permanent weakness of the face after surgery. However, people with large tumors are more likely to have some permanent weakness of the face after surgery.Signs of nerve damage such as loss of hearing or weakness of the face may be delayed after radiosurgery. In most cases, brain surgery can completely remove the tumor. When to Contact a Medical Professional Contact your provider if you have:Hearing loss that is sudden or getting worse Ringing in one ear Dizziness (vertigo)Open ReferencesReferencesArriaga MA, Brackmann DE. Neoplasms of the posterior fossa. In: Flint PW, Francis HW, Haughey BH, et al, eds. Cummings Otolaryngology: Head and Neck Surgery. 7th ed. Philadelphia, PA: Elsevier; 2021:chap 179.DeAngelis LM. Tumors of the central nervous system. In: Goldman L, Schafer AI, eds. Goldman-Cecil Medicine. 26th ed. Philadelphia, PA: Elsevier; 2020:chap 180.Juraschka K, Kumar SA, Taylor MD. Genetics of pediatric brain tumors. In: Winn HR, ed. Youmans and Winn Neurological Surgery. 8th ed. Philadelphia, PA: Elsevier; 2023:chap 231.