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Medical Health Encyclopedia
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Central nervous system
Central nervous system


Acoustic neuroma

Alternative Names:
Vestibular schwannoma; Tumor - acoustic; Cerebellopontine angle tumor; Angle tumor

Symptoms:

The symptoms vary with the size and location of the tumor. Because the tumors grow so slowly, symptoms usually arise after the age of 30.

Text Continues Below



Common symptoms include:

Less common symptoms include:

  • headache
    • upon awakening in the morning
    • which awakens patient from sleep
    • aggravated by lying down, reclining position
    • aggravated by standing up
    • aggravated by coughing, sneezing, straining, lifting (Valsalva maneuver)
    • with nausea or vomiting
  • difficulty understanding speech (out of proportion to total hearing loss)
  • dizziness
  • loss of balance
  • numbness in the face or one ear
  • pain in the face or one ear
  • transient vision abnormalities


Signs and tests:

The health care provider may diagnose an acoustic neuroma based on the history, neurological examination or testing of the patient. The results of a physical examination are often unremarkable, except for the following signs:

If the tumor is large, there may additionally be signs of increased pressure on the brain (increased intracranial pressure), including the following:

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