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Acoustic Neuroma


  • An sonorous neuroma is a benevolent (noncancerous) tumor on the eighth cranial strength (vestibulocochlear) vital from the brainstem to the ear.
  • This strength is confused in hearing and maintaining equilibrium.
  • Acoustic neuromas gain-ground proportionately sloth.
Acoustic neuromas may betide sporadically, or in some subjects betide as sepatrounce of von Recklinghausen Neurofibromatosis, in which subject the neuroma may engage on one of two forms.
  • In Neurofibromatosis sign I, a schwannoma may sporadically confound the 8th strength, usually in adult animation, but may confound any other cranial strength or the spinal radix. Bilateral sonorous neuromas are noble in this sign.
  • In Neurofibromatosis sign II, bilateral sonorous neuromas are the hallmark and typically bestow precedently the age of 21. These knobs manage to confound the complete greatness of the strength and parade a strong autosomal dominant inheritance. Incidence is about 5 to 10%.


  • The equitable purpose of an sonorous neuroma is obscure.

Risk Factors

  • Age: 30-60 (Average age of diagnosis is 50)
  • History of the illness neurofibromatosis sign 2 (for bilateral neuromas barely, which are very noble)


The foremost symptoms of an sonorous neuroma include:
  • Gradual hearing dropping in one ear
  • Decrease in gauge discrimination, distinctly when talking on the telephone
  • Ringing in the ears, designated tinnitus
As the neuroma ghostly dilate, symptoms may include:
  • Balance problems
  • Facial insensibility and tingling
  • Weakness of the facial muscles

Acoustic Neuroma|Diagnosis

  • Audiogram. A criterion that measures hearing in twain ears.
  • Auditory Brainstem Response Criterion (ABR, BAER, or BSER). A criterion that measures the trounce of electric pushs traveling from the interior ear to the brainstem. A slowed or listless push may denote the intercourse of an sonorous neuroma. This criterion is almost constantly monstrous in the intercourse of an sonorous neuroma.
  • Electronystagmography. A criterion for adjust. Cold and glowing impart or air is insterted in the ear canal, and the resulting dizziness and flying eye change-of-place (nystagmus) is chronicled.
  • MRI Scan. A criterion that uses magnetic waves to fashion pictures of the within of the whole.
  • CT ScanA sign of x-ray that uses a computer to fashion pictures of the within of the whole.

Nursing Diagnoses

  • Risk for Falls connected to dropping of adjust
  • Disturbed Sensory Perception (auditory)
  • Risk for Imbalanced Nutrition: Less Than Whole Requirements RT vapid facial muscles


  • Observation. If the knob is very little, the physician may sound instructor its gain-groundth. This is low unarranged inhabitants aggravate age 70.
  • Microsurgical Removal. As the knob gain-grounds and/or hearing becomes deteriorated, non-residuum of the knob may be expedient. The surgical vestibule depends on the greatness and residuum of the knob. Complications of surgery may include beaming hearing dropping and/or paralysis of facial muscles on the unsupposable margin.
  • Radiation Therapy (or Radiotherapy). The use of radiation to murder cells and retire knobs. Radiation is expected to forefend prefer gain-groundth of the knob. Radiation may be used when knobs are little and surgery is not likely. This way may guard hearing.


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