Acoustic Neuroma in New York, NY
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Contact UsWhat is an acoustic neuroma?
Acoustic neuromas, also termed AN or vestibular schwannomas, are benign tumors on the cranial nerve linking the brain to the inner ear. These growths expand slowly, but when they reach a particular size, they can press against brain tissues, affecting hearing and balance. At Dr. Raymond Sekula's New York City office, we manage acoustic neuromas through observation, stereotactic radiotherapy, or surgery. Connect with Dr. Sekula at The Neurological Institute of New York for a deeper understanding of diagnosis and treatments.
How Is Acoustic Neuroma Diagnosed?
Acoustic neuroma, a noncancerous tumor that affects the nerve responsible for hearing and balance, is typically diagnosed through a combination of patient history, physical examination, and specialized imaging. Initially, a hearing test (audiogram) is often conducted to evaluate hearing loss, a common symptom. If an acoustic neuroma is suspected, magnetic resonance imaging (MRI) with contrast can help confirm the presence of the tumor, providing detailed images of the brain and surrounding structures. In some cases, a computed tomography (CT) scan may be used if an MRI is not an option. These imaging techniques help determine the size and location of the tumor, guiding treatment decisions.
How is an acoustic neuroma treated?
Acoustic neuroma has multiple treatment options, and Dr. Sekula works closely with patients to determine the optimal approach: observation, stereotactic radiotherapy, or surgery. For small, asymptomatic tumors, observation may be ideal, especially if the patient's age or health makes surgery risky. Stereotactic radiosurgery, which uses concentrated radiation to hinder tumor growth, is noninvasive and allows quick recovery, but its full effects might take time and necessitate regular scans. In certain situations, surgical removal becomes essential, aiming to alleviate brain compression, maximize tumor removal, and preserve hearing and facial nerve function if feasible. Various surgical methods have unique risks and advantages, and the choice hinges on multiple factors, from tumor characteristics to patient preferences. Dr. Sekula may also recommend a translabyrinthine approach, a retrosigmoid approach, or a middle fossa approach, depending on the specifics of your case. Trust our seasoned neurosurgeon to guide you through these critical decisions.
Dr. Raymond Sekula Reviews
I was diagnosed with an acoustic neuroma in October of 2017. After initially choosing to track its progress, I was informed by my local ENT doctor in October of 2023 that observation was no longer an option. They recommended I consider Dr. Raymond Sekula, to perform the necessary surgery to remove the vestibular schwannoma. After researching his vast knowledge in the field of neurosurgery, and his expertise in vestibular surgical procedures, my wife and I arranged for an online teleconference. It was at that point in time that we realized that having Dr. Sekula as part of the surgical team was non-negotiable, and we set the date for surgery. The next time I met Dr. Sekula was in pre-op, the morning of my procedure. His easy-going demeanor, sense of humor and reassuring manner put any lingering concerns out of my mind. After a successful nine-hour surgery, he again reassured my wife and I that everything was going to be fine. I recently met with him for a post-op appointment two weeks after surgery, and once again his personable manner and encouraging words have me looking forward to the future. If you are facing the prospect of undergoing a vestibular procedure, I would totally recommend Dr. Sekula. Not only will he take care of your physical needs while under his direct care, but he will also offer encouragement, and continue setting you on a path towards total recovery after the fact. Thank you, Dr. Sekula, for all of your assistance!
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Advanced Tumor Care
Navigating the complexities of acoustic neuroma requires expertise and personalized care. Our accomplished neurosurgeon, Dr. Raymond Sekula, is committed to helping you understand your options and find the optimal treatment path tailored to your needs. Don't let uncertainty hold you back; entrust your health to specialists who prioritize your well-being. Reach out to our office today at The Neurological Institute of New York in New York, NY, and embark on your journey to a better future.
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About UsAcoustic Neuroma FAQs
How does an acoustic neuroma affect hearing?
Acoustic neuromas typically develop on the nerve that connects the ear to the brain. Over time, as the tumor grows, it can exert pressure on the nerve, potentially leading to hearing loss. The hearing loss is usually gradual and initially affects one ear. In some cases, the tumor may impact the structural integrity of the auditory nerve, leading to a permanent loss of hearing if not managed in a timely manner. It's important for individuals experiencing unexplained hearing issues to consult a healthcare provider for appropriate diagnosis and management.
What are the possible complications if an acoustic neuroma is left untreated?
Leaving an acoustic neuroma untreated can lead to several complications due to its growth and pressure on nearby cranial nerves and brain structures. This pressure can result in more severe symptoms such as persistent headaches, facial numbness or paralysis, and difficulties with balance and coordination. In extreme cases, if the tumor becomes very large, it could press against the brainstem, which is critical for basic life functions, thus posing a life-threatening risk. Monitoring the growth and symptoms of the tumor is crucial for timely intervention.
How does acoustic neuroma impact balance and coordination?
Acoustic neuroma can affect balance and coordination because it often grows on or near the vestibular nerves, which are part of the system that controls balance. As the tumor expands, it can disrupt the normal function of these nerves, leading to dizziness, vertigo, and unsteadiness. These symptoms might worsen over time as the tumor grows, affecting the patient's ability to perform daily activities safely. It's vital for individuals experiencing such symptoms to seek evaluation to rule out or confirm the presence of an acoustic neuroma.
Can acoustic neuroma cause changes in facial sensation or movement?
Yes, as acoustic neuromas enlarge, they can affect nearby cranial nerves, including those responsible for facial sensation and movement. This can result in symptoms such as facial numbness, tingling, or even weakness on one side of the face. These symptoms generally develop gradually and can vary in intensity. Early detection and management are key to preventing permanent facial nerve damage, which underscores the importance of regular follow-ups and imaging studies in patients with known or suspected tumors.