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| {{CMG}}{{AE}}{{Simrat}} | | {{CMG}}{{AE}}{{Simrat}} |
| ==Overview== | | ==Overview== |
| Symptoms of acoustic neuroma include [[hearing loss]], [[tinnitus]], [[vertigo]], [[unsteadiness]], pressure in the ears, [[headaches]], and facial [[pain]].<ref>{{Cite web | title =NIH Acoustic neuroma symptoms | url =https://www.nlm.nih.gov/medlineplus/ency/article/000778.htm}}</ref> | | Symptoms of acoustic neuroma include [[hearing loss]], [[tinnitus]], [[vertigo]], [[headaches]], facial weakness, facial numbness and tingling, dizziness, taste changes, difficulty swallowing and hoarseness and confusion.<ref>{{Cite web | title =Wikipedia Acoustic neuroma symptoms | url =https://en.wikipedia.org/wiki/Vestibular_schwannoma}}</ref> |
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| ==Symptoms== | | ==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.
| | Symptoms of acoustic neuroma include: |
| The typical presentation is with adult onset [[sensorineural]] [[hearing loss]] or [[tinnitus]]. In some patients this goes unnoticed and presentation is delayed until the [[lesion]] is much larger and presents with mass effect. Possibilities include [[cerebellar]] and [[brainstem]] symptoms (e.g. other cranial nerve dysfunction), or [[hydrocephalus]] due to effacement of the fourth [[ventricle]].<ref>{{Cite web | title =Radiopedia Acoustic neuroma clinical presentation | url =http://radiopaedia.org/articles/acoustic-schwannoma}}</ref>
| | *Sensorineural hearing loss |
| :*Common symptoms include:<ref>{{Cite web | title =NIH Acoustic neuroma symptoms | url =https://www.nlm.nih.gov/medlineplus/ency/article/000778.htm}}</ref>
| | *Vertigo |
| :**'''Hearing loss''': Acoustic neuromas typically cause [[sensorineural hearing loss]], meaning there is damage to the inner ear (cochlea) or nerve pathways from the inner ear to the [[brain]]. It involves a reduction in sound level, speech understanding and hearing clarity. The most common first symptom is hearing loss in the affected ear, which often goes unrecognized or is mistaken for a normal change of aging. Hearing loss is usually gradual, although in some cases sudden hearing loss can occur, and occur on only one side or more pronounced on one side. Hearing loss may be accompanied by ringing in the ears, a condition known as [[tinnitus]], or by a feeling of fullness in the affected ear.
| | *Tinnitus |
| :**'''Abnormal feeling of movement(vertigo)'''
| | *Facial weakness |
| :**'''Tinnitus''': Tinnitus is the perception of sound in the ears or head where no external source is present. Some call it "ringing in the ears" or "head noise". This very common condition affects 1 in 5 people and has no cure. Not all patients with tinnitus have acoustic neuroma and not all acoustic neuroma patients have tinnitus. Tinnitus is present in the affected [[ear]].
| | *Facial numbness and tingling |
| :*Less common symptoms include:<ref>{{Cite web | title =Wikipedia Acoustic neuroma symptoms | url =https://en.wikipedia.org/wiki/Vestibular_schwannoma}}</ref>
| | *Headaches |
| :**'''Unsteadiness''': Essentially everyone who has been treated for an acoustic neuroma experiences difficulty with balance and/or [[dizziness]] to some degree. For some, this instability may be mild and noticeable only in certain circumstances, such as ambulating with head movements, or walking in the dark. For others, there may be difficulty returning to work, or even performing regular daily activities such as driving, shopping, house work and even working on your computer. Perception of stability is the result of a complex [[brain]] function that uses three systems to inform the brain how the body is oriented in space and how it is moving in relation to its surroundings. Acoustic neuromas can also cause [[dizziness]] and problems with balance such as [[unsteadiness]]. In rare cases, dizziness or balance problems may occur before noticeable hearing loss.
| | *Dizziness |
| :**'''Pressure in the ears''': Acoustic neuroma patients sometimes complain of a feeling that their ear is plugged or "full".
| | *Difficulty swallowing and hoarseness |
| :**'''Headaches''': Head pain is expected in most patients immediately after acoustic neuroma [[surgery]] (acute phase) because of the incision, variations in cerebrospinal fluid pressure, muscle pain, or even meningitic [[pain]]. It typically responds to appropriate medications and resolves within several weeks. Headache that persists for months or even years after surgery (chronic phase) can be debilitating, and may be an under-appreciated [[complication]] of acoustic neuroma treatment. In patients who experience chronic headaches, the pain often persists for prolonged periods of time, and does not always respond well to various [[medical]] and [[surgical]] treatments. The exact [[prevalence]] and causes of [[chronic]] postoperative headache (POH) are elusive. After surgical treatment of acoustic neuroma, the reported [[incidence]] of headache in the 2012 Acoustic Neuroma Association patient survey has ranged from 0% to 35% depending on the type of surgical approach, technique used and reporting interval since surgery. Frequent and severe POHs have been more often associated with the sub-occipital or retrosigmoid approaches than the translabyrinthine or middle fossa approaches. In some rare cases headaches may be the first sign of an acoustic neuroma.
| | *Taste changes |
| :**'''Facial pain''': Although rare, complications resulting from the involvement of cranial nerves include [[facial weakness]] or [[paralysis]], facial [[numbness]] or [[tingling]], and swallowing difficulties. Facial numbness or tingling can be constant or it may be intermittent. In the 2012 Acoustic Neuroma Association patient survey, 29% of the respondents reported facial weakness or paralysis, some of which were pre- and some were post-treatment. This represents a significant improvement from the 1998 Acoustic Neuroma Association patient survey of post-treatment acoustic neuroma patients, which revealed that at the time they completed the survey, only 59% were satisfied with the appearance of their [[face]].
| | *Confusion |
| ==References== | | ==References== |
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| [[Category:PNS neoplasia]]
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| [[Category:Types of cancer]] | | [[Category:Types of cancer]] |
| [[Category:Disease]] | | [[Category:Disease]] |