4 Telltale Signs of Acoustic Neuroma

An acoustic neuroma, also known as vestibular schwannoma, is a noncancerous tumor that develops on the eighth cranial nerve, which connects the inner ear to the brain. These tumors aren’t common, developing in just one in every 100,000 people. Usually they develop in older adults, rather than younger adults or children.

The eighth cranial nerve is responsible for hearing and balance, so when an acoustic neuroma forms, it can significantly affect these functions. Early detection means you get more successful treatment and management. 

Our team at Alabama Neurological Surgery & Spine in Birmingham, Alabama, says you should be aware of these four telltale signs of acoustic neuromas.

1. Hearing loss

The most common symptom of acoustic neuroma is a slow, progressive hearing loss in one ear. Unlike the sudden hearing loss that might occur with infections or other ear conditions, the hearing loss associated with acoustic neuroma is typically gradual and affects only one side.

You might find it more difficult to understand conversations, especially in noisy environments. This can lead to a feeling of frustration and isolation as you struggle to keep up with what others are saying. 

If you notice that you’re having trouble hearing in one ear, especially if it’s getting worse over time, it’s important to seek medical advice.

2. Tinnitus

Tinnitus, or ringing in the ears, is another common symptom of acoustic neuroma. This ringing, buzzing, or hissing sound is usually persistent and affects the ear with hearing loss. It can be particularly noticeable in quiet environments and may interfere with your ability to concentrate or sleep.

Similar to hearing loss, tinnitus associated with acoustic neuromas typically affects only one ear. If you experience persistent ringing in just one ear, it’s a good idea to get it checked out by our team.

3. Balance problems

Because the eighth cranial nerve plays a key role in balance, an acoustic neuroma can cause balance issues. You might experience dizziness or vertigo, which is the sensation that you or your surroundings are spinning.

You may find it difficult to walk in a straight line or feel unsteady on your feet. These balance problems can increase the risk of falls and injuries, making it important to address them right away.

4. Facial numbness or weakness

As the tumor grows, it can exert pressure on nearby nerves, including the facial nerve. This pressure can lead to numbness, tingling, or weakness on one side of your face.

You might notice that it’s more difficult to move your facial muscles, such as when smiling or blinking. In severe cases, this can lead to noticeable facial asymmetry and affect your ability to express emotions.

When to get medical attention

If you experience any of these symptoms, it’s important to consult with our office or another medical professional. Early diagnosis of acoustic neuroma can lead to better treatment outcomes. 

At Alabama Neurological Surgery & Spine, we offer comprehensive diagnostic services, including hearing tests, MRI scans, and specialized assessments to accurately diagnose and evaluate acoustic neuromas.

Treatment options for acoustic neuroma

Our approach depends on the size and growth rate of the tumor, as well as your overall health and symptoms. For small, slow-growing tumors that cause minimal symptoms, we usually recommend regular monitoring with MRI scans.

In cases where the tumor is large or causing significant symptoms, we typically recommend surgical removal or radiation therapy to shrink the tumor.

Reach out to the team at Alabama Neurological Surgery & Spine for expert care and support if you or a loved one has signs of an acoustic neuroma. Contact us today to make an appointment.