Treatment of neurinoma

Contact a leading clinic
Fill in the contact fields below
and click the "Download MRI" button to switch to Google Drive file sharing. Download the MRI and / or doctor's report on the open page.
Your phone number
we will send the answer to Viber or Telegram
By filling out this form, you consent to the processing of your data
Close
Contact us
Telegram
Telegram
WhatsApp
Messenger
Skype
Mail
Phone
!
More information about the diagnosis can be found at the link NEURINOMA
The neurinoma of the vestibulo-cochlear nerve is a tumor growing from the nerve responsible for hearing and balance. These tumors grow slowly. However, because of their location, they can couse extremely unfavorable complications . During growing, the tumor begins to cause hearing loss on the side of the location, noise and ringing, balance disorders and dizziness, paresis of facial nerve. In neglected cases, increases intracranial pressure and decreased vision (hydrocephalus is progressing).

Other nerves are also affected. Symptoms of distraction of other nerves are double vision, numbness or pain in the face, difficulty of swallowing and loss of voice. The compression of the conductive pathways can cause weakness and paralysis of the limbs, a violation of sensitivity.

Contact us
Symptoms
Symptoms caused by the size and growth of the tumor. The most typical symptom is one-sided hearing loss on the side of the tumor, which is often overlooked or mistakenly associated with other causes (for example, age-related changes in hearing). Small tumors usually do not extend beyond the bone channel and lead to unilateral reduction of hearing, tinnitus (ringing and noise in the ear), coordination disorders and dizziness. As the tumor grows, hearing loss can progress, weakness of the face and impaired coordination, balance are added. Large tumors cause pression on the brain stem, which aggravates the disorder of coordination, causes a sensitivity disorders. Involving the trigeminal nerve leads to numbness of the face and sometimes to the pains of the arrow as a type of neuralgia. With increasing compression of the trunk, the pathways of circulation of the cerebrospinal fluid overlap, leading to hydrocephalus. It lead to headache, loss of vision, nausea, vomiting and other symptoms.
Causes
In general, the causes of the tumor of the auditory nerve are still unknown. None of the environmental factors (such as the use of mobile phones or eating habits) has a proven impact on the development of these tumors. Neurinomas of the vestibulocochlear nerve can be both sporadic (occur without apparent causes), and develop with such a hereditary disease as type 2 neurofibromatosis (NF-2). Sporadic cases account for 95%, while 5% of the remaining neurinas are associated with NF-2.
Neurofibromatosis is a rare disease that can occur in two forms. Type 1 – causes neural tumors throughout the body, especially in the skin. Type 2 – more often affects the central nervous system, in particular causes the development of bilateral neurinomas auditory nerves, creating a risk of complete hearing loss. The bilateral nature of the process influences on treatment, because the priority is the preservation of hearing.

Neurinoma of the vestibulocochlear nerve affects about 10 people per 1 million. Women are more common than men and are usually diagnosed between the ages of 30 and 60 years.

Diagnosis
The doctor in detail asks about your complaints and history (history of previous and family illnesses), then make a general and neurological examination.
The final diagnosis is possible only after an additional examination, which usually takes no more than 1-2 days. Diagnostic procedures may include:
  • Magnetic resonance imaging (MRI) of the brain with contrast enhancement is the gold standard for diagnosing tumors of the brain, including the neurinoma of the auditory nerves. MRI is a non-invasive, painless and safe study that uses a magnetic field and radio waves to obtain a detailed image of the brain tissue. MRI is very useful for detecting brain lesions and their effect on surrounding brain structures.
  • Computer tomography (CT) is a non-invasive technique in which an image of internal structures is acquired using X-rays and a computer. It is especially useful for studying the state of bone structures and their changes under the influence of the tumor (for example, widening of the internal auditory canal or destruction of the adjacent bone).
  • Audiogram is an examination of the hearing function performed by an otoneurologist (specialist in diseases of the auditory nerves). During the study, the headphones are worn on the patient, through which a number of sounds are heard in a certain sequence for each ear separately. Also, the study can be supplemented with a test for the recognition of oral speech. This test allows you to detect hearing loss, its side (with changes not noticeable to the patient) and the level at which the auditory analyzer (middle or inner ear) is struck.
Also, the doctor may prescribe a number of more detailed studies that are necessary in your particular case.
Treatment
The treatment that is most appropriate in a particular case depends on age, general health and comorbidities, hearing, and tumor size. The larger the tumor, the more difficult the treatment. Therefore, early diagnosis and treatment are very important. Due to the significant individual characteristics of patients and the fundamental complexity of neurin treatment, it is important to turn to large medical institutions with a wide range of treatment methods and extensive experience in this matter.

Treatment is directed by a neurosurgeon in close cooperation with an otoneurologist and radiologist.

Observation or waiting tactics.

Neuromas of small size with minor manifestations can be observed by conducting serial MRI studies with a certain frequency (from once every 3-6 months to once a year) under the supervision of a neurosurgeon. The signal for a change in treatment tactics may be an increase in the tumor or the progression of symptoms. The average growth rate of neurinoma is 0.66 - 1.5 mm per year. At supervision in 40% - 50% of cases further there is a need for operation or irradiation because of growth of a tumor or increase in symptoms. Surveillance may be the best option for elderly patients, if they have comorbidities and tumors in the hearing ear.
Contact us for advice
To pre-register for a consultation, you can contact the COORDINATOR of the clinic at any convenient time!
Reception hours: 09:30 - 15:00
Online counseling in a convenient way
Telegram Viber Messenger +380674651135
When applying to our clinic, it is desirable to have:

MRI scans, doctor's opinion, tests

TEAM
VOLODYMYR FEDIRKO
Doctor of Medical Sciences, head of department
Work experience: 32 years
PETRO ONISHCHENKO
Candidate of medical sciences, Doctor-neurosurgeon
Work experience: 34 years
OLEXANDR LISYANYI
Doctor of Medical Sciences, Doctor-neurosurgeon
Work experience: 26 years
ANDRIY NABOYCHENKO
Doctor-neurosurgeon

Work experience: 12 years

TESTIMONIALS

Sholina Ksenia
4 years have passed, and our whole family remembers with the same trepidation the miracle that the dear Vladimir Olegovich did for us. When everyone refused, he took and saved my life ...
Bilda Valentyn
I would like to thank my savior, Fedirko Vladimir Olegovich and the entire team for the removal of subtentorial neurooncology. Separately, I thank my guardian angel, Oksana, who did not leave me, day and night.
Kutovaya Elena
Low bow to all the medical staff, especially Vladimir Olegovich Fedirko. In 2012, my mother was operated on with a diagnosis of trigeminal neuralgia. We arrived in Kiev without even a referral and Vladimir Olegovich heard us and appointed the day of the operation.
Maltseva Victoria
Our family is truly grateful to Vladimirovich Olegovich and the entire team of the clinic for their professional work. Behind this familiar "thank you" is actually an ocean of our and my mother's hopes, worries, fears, sleepless nights ... We have never regretted our decision. Thank you.
Andriychuk Viktoria
Thanks for the golden hands and invaluable knowledge to Vladimir Olegovich Fedirko, as well as to the entire team of the clinic! After a successfully and professionally performed surgery in 2014, this year I became a mother!
ABOUT US
Institute of Neurosurgery
The Clinic of Subtentorial Neurooncology of the Institute of Neurosurgery was founded in 1988 as a subdivision of the Department of Neurooncology of the Institute of Neurosurgery named after A.P. Romodanova
Best Neurosurgeons
Every year the clinic staff performs more than 500 complex operations at a modern, highly professional level
Complex Operations
Treatment of neurosurgical diseases of the posterior fossa, brainstem, craniobasal localization, cranial nerves and other complex localizations
We Are Open To Communication!
You can send your question (in the form below), we will provide an answer soon and will hold a detailed consultation
WHAT DO WE OFFER?
Consultation
We are always ready to study in detail your case in the initial examination mode in inoperable hours.
Operation
Do you already know that your case is operable? Then we are waiting for you in our office at the initial inspection.
Accompaniment
After treatment, our patients remain under supervision for life.
When applying to our clinic, it is desirable to have:

MRI scans, doctor's opinion, tests

Made on
Tilda