Acoustic Neuroma Treatment in Lucknow | Vestibular Schwannoma Care | I D Cancer Center
Overview
Acoustic Neuroma, also known as Vestibular Schwannoma, is a non-cancerous (benign) tumor that develops on the vestibulocochlear nerve (VIII cranial nerve). This nerve is responsible for hearing and balance, and the tumor’s slow growth can lead to gradual or sudden symptoms.
Although benign, an untreated acoustic neuroma can grow large enough to press on nearby brain structures, affecting hearing, balance, and facial nerves.
At I D Cancer Center, we use a multidisciplinary approach, advanced MRI-based planning, and precision radiotherapy techniques (IMRT/IGRT/SRS) to provide safe and effective treatment with maximal nerve preservation.
Acoustic Neuroma, also known as Vestibular Schwannoma, is a non-cancerous (benign) tumor that develops on the vestibulocochlear nerve (VIII cranial nerve). This nerve is responsible for hearing and balance, and the tumor’s slow growth can lead to gradual or sudden symptoms.
Although benign, an untreated acoustic neuroma can grow large enough to press on nearby brain structures, affecting hearing, balance, and facial nerves.
At I D Cancer Center, we use a multidisciplinary approach, advanced MRI-based planning, and precision radiotherapy techniques (IMRT/IGRT/SRS) to provide safe and effective treatment with maximal nerve preservation.
Causes
Most cases are sporadic, but some may be linked to:
Age-related gene changes
Radiation exposure (rare)
Genetic condition – Neurofibromatosis Type 2 (NF2)
There is no known link with mobile phones or lifestyle factors.
Most cases are sporadic, but some may be linked to:
Age-related gene changes
Radiation exposure (rare)
Genetic condition – Neurofibromatosis Type 2 (NF2)
There is no known link with mobile phones or lifestyle factors.
Common Symptoms
Acoustic neuroma symptoms depend on size and growth rate:
Acoustic neuroma symptoms depend on size and growth rate:
Ear & Hearing Symptoms
Gradual hearing loss (most common)
Sudden hearing loss
Tinnitus (ringing in the ear)
Ear fullness / pressure
Gradual hearing loss (most common)
Sudden hearing loss
Tinnitus (ringing in the ear)
Ear fullness / pressure
Balance Symptoms
Vertigo (spinning sensation)
Unsteadiness while walking
Dizziness
Vertigo (spinning sensation)
Unsteadiness while walking
Dizziness
Neurological Symptoms (in larger tumors)
Facial numbness or tingling
Headache
Difficulty with coordination
Hydrocephalus (rare, in very large tumors)
Early diagnosis improves the chance of hearing preservation.
Facial numbness or tingling
Headache
Difficulty with coordination
Hydrocephalus (rare, in very large tumors)
Early diagnosis improves the chance of hearing preservation.
Diagnosis at I D Cancer Center
We provide advanced diagnostic facilities for accurate evaluation:
We provide advanced diagnostic facilities for accurate evaluation:
1. Audiological Tests
Pure tone audiometry
Speech discrimination tests
Brainstem auditory evoked responses (BAER)
Pure tone audiometry
Speech discrimination tests
Brainstem auditory evoked responses (BAER)
2. Imaging Studies
MRI with contrast (gold standard)
High-resolution CT scan (if MRI is contraindicated)
MRI with contrast (gold standard)
High-resolution CT scan (if MRI is contraindicated)
3. Neurological & Vestibular Evaluation
To assess balance and nerve involvement.
Once diagnosed, the case is discussed in a specialized tumor board to plan the best treatment.
To assess balance and nerve involvement.
Once diagnosed, the case is discussed in a specialized tumor board to plan the best treatment.
Treatment Options
Treatment depends on the size, symptoms, and overall health.
Treatment depends on the size, symptoms, and overall health.
1. Observation (“Watchful Waiting”)
For small tumors with mild symptoms
Regular MRI every 6–12 months
Hearing tests
Suitable for elderly or medically fragile patients
For small tumors with mild symptoms
Regular MRI every 6–12 months
Hearing tests
Suitable for elderly or medically fragile patients
2. Stereotactic Radiosurgery (SRS) – Preferred for Small/Medium Tumors
At I D Cancer Center, we use:
Image-Guided SRS
IMRT-SRS
VMAT-SRS
3. Fractionated Radiotherapy (IMRT/IGRT)
4. Microsurgery
Recommended for:
Large tumors (>3 cm)
Tumors causing brainstem compression
Rapidly progressing symptoms
Performed by experienced neurosurgeons in selected centers; radiotherapy may follow if residual tumor remains.
Recommended for:
Large tumors (>3 cm)
Tumors causing brainstem compression
Rapidly progressing symptoms
Performed by experienced neurosurgeons in selected centers; radiotherapy may follow if residual tumor remains.
Prognosis
Hearing can often be preserved
Tumor control rates are 90–95% with radiosurgery
Quality of life remains excellent
Long-term follow-up MRIs are essential to monitor for regrowth.
Why Choose I D Cancer Center?
Expert radiation oncologist – Dr. Sunil Kumar
Precision radiotherapy (IGRT/IMRT/SRS) for nerve-preserving treatment
Advanced MRI-based planning
Multidisciplinary evaluation for best outcomes
Compassionate counselling & long-term monitoring
Patient-centric care focusing on hearing and balance preservation
Expert radiation oncologist – Dr. Sunil Kumar
Precision radiotherapy (IGRT/IMRT/SRS) for nerve-preserving treatment
Advanced MRI-based planning
Multidisciplinary evaluation for best outcomes
Compassionate counselling & long-term monitoring
Patient-centric care focusing on hearing and balance preservation
