Acoustic Neuroma

Posted , 25 users are following.

Mine is a very positive story.

I had tinnitus for a year in my left ear. My doctor said there was nothing to be done and I just learned to live with it. No big deal.

Then on 25th August 2007, I woke up and couldn't hear anything out of my left ear. I had just moved to Dubai and thought it might be the flight.

An ENT specialist did some hearing tests and explained it was nothing to do with the flights as it was an inner ear problem and put me on steroids. They didn't make any difference so I had a gas therapy- I think it's called carbogen - a mixture of oxygen and carbon dioxide. I had this for twelve hours - half an hour on, half an hour off.

The next day I woke up and could hear a bit. I was delighted as had resigned myself to no hearing! I then went to the doctor for a repeat hearing test. He said it was good, but he wanted to send me for an MRI scan just in case.

I went and when it was nearly finished they injected a dye in. Slightly concerned but thought nothing of it really as knew some of my hearing had come back. I didn't really think much more about it until the doctor's secretary rang to ask that I come in for the results a few days later.

Anyway, he told me there was a tumour, 3.2cm by 2.2cm that was usually benign and I had an appointment to see a neuro-surgeon in two days time. It was a big shock, obviously, but I felt like it would be OK and trusted that it was usually benign.

The neuro surgeon told me it was an acoustic neuroma and that it was too big for gamma knife. He explained the surgery to me and assured me that he was 99.9% certain it wasn't cancerous. He said it was a fairly big but routine operation but that I would need lots of time to recuperate. I told him I was going to come home to UK and he recommended a surgeon at the Wellington hospital to me.

I met with the surgeon who was brilliant. Very calm and kind and told me the risks - 50% chance of facial paralysis, 100% no hearing and what the operation would entail. My tumour was just a bit too big for gamma knife and this surgery had only been carried out for twenty years. This meant any side effects after that time weren't known and as I was only 29, surgery was the way to go. He thought he may have to leave a few mm in because of it's position but that would be OK. He explained it brilliantly and my paretns and I felt calm about the whole thing.

On Monday 15th October 2007 I had the surgery. I think it lasted about eight hours as he was able to remove the whole thing. Another surgeon carried out the first part of the operation and the surgeon I'd been recommended did the removal. Both are brilliant and I felt completely at ease and trusted them implicitly.

I only vaguely remember coming round about ten hours later. The surgeon said something (I'm sure he said a lot but I can't really remember!) Then my parents came in and I smiled. Perfect smile with no facial paralysis at all. What a massive relief.

I remember a bit of the night I spent in ICU and a bit of the next two days in my room. I have never experienced thirst like it!! I had morphine drips and IV and spinal drain (to catch any brain leaks!) Was fairly out of it though.

Had a pretty bad night on Tuesday with extra pain injections. My head felt like, well, a bashed in cannon ball really, but once the spinal drain came out things started getting better. I didn't think I would ever feel better as I really did feel rubbish. The surgeon said once the drain was out it would get better and he was right! Wednesday I got out of bed (threw up a bit but felt better after, and was only sick once more through the whole thing), Thursday I walked down the corridor with physio. Was a bit wobbly but OK.

Once the catheter was out the walking got easier and by Saturday I was eating, watching TV and walking upstairs. I was taking oral pain medication every four hours and to be honest, I was ready for them, but it was not blinding pain. I had the odd anti-sickness injection or pain injection in between but Saturday was the last injection. Sunday I had a blinding headache again but by the afternoon I felt much better and went outside (my dad wheelchaired me round a park! I could walk, but was just easily tired.)

It wasn't the best week of my life but I got better every day and went home the following Monday, just one week later, and was told to take just paracetamol for the pain (I had been having paracetamol and tramadol). I couldn't believe it! A nurse took the stitches out and because my head was still numb it wasn't painful in the least. Just a tiny bit weird really. The scar is all along my hair line behind my ear. They shaved a little bit of my hair in the area but the rest of my hair falls over it and even when I tie my hair back, you can't see it. It's incredible really. (Everyone I've shown it to says how neat and small it is.)

At home, I was easily tired and my neck hurt from the position I lay in, my thigh needed penicillin as the scar got infected (they removed some fat from my thigh to put behind the ear where the bone had been! Yuk!)but other than that, my headaches were like the normal ones you sometimes get for no real reason and I could talk on the phone a little bit more each day and my freinds waited until I was ready for visitors. That was after about five days of being home and it was only a few more before I could manage whole days of visits and trips out for lunch!

Two weeks later was my 30th birthday and I had a fairly sedate tea party! But the following weekend I was out clubbing (fairly sober as promised myself I would not self induce a headache like the ones I had the first few days of hospital), and felt great the next day.

It is now five weeks since the operation and I haven't taken paracetamol for about ten days. I've gotten used to being deaf (bonus is that I get great night's sleep) and my tinnitus is still here. My thigh is numb where the scar is and I can't cry in my left eye (new party trick), but there's drops to help and I'm swimming, jogging, going to yoga, dinners out, drinking a bit of wine and generally thinking life is ace. It really wasn't that bad for me and I feel really lucky. Back to Dubai to carry on with my break dancing lessons in a week or two!

[color=red:73a7207470][size=9:73a7207470][b:73a7207470][i:73a7207470](Sorry but Patient Admin have removed a Doctor, Consultant and or Hospital name from this posting, as it is the policy of Patient UK not to publish these on this forum.) [/i:73a7207470][/b:73a7207470][/size:73a7207470][/color:73a7207470]

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  • Posted

    Hello again Mike,I think my previous mail was reflecting my mood,it isn't very pleasant to be so dizzy etc.Gamma Knife surgery has excellent results and I don't regret having accepted it as the best course of treatment for me.

    Perhaps I should add that I am almost 80 years old and consider myself  fortunate to have had the treatment and not been cast aside as too old.This was possible , my consultant told me that it was my general fitness and active life that made the decision for me.

    Looking sensibly,the winter bug I might have had anyway and the labrynthitis could still turn out to be oif  viral origin.

    You see I am more cheerful this evening and realise that I will be better very soon .The best results come from a positive state of mind.

    Keep active and I am certain everything will go well for you.

    I still feel somewhat isolated by my deafness but I make it clear to people ( with a smile ) that I am "deaf not daft" and have found them understanding and helpful.

    Take care and don't worry, I am sure that all will go well..Audrey

     

    • Posted

      Hi, how are you now. Saw this on forum. I am 74 yrs old and have 1 cm. Acoustic neuroma. On a wait and watch at the moment, and surgeon has already said gamma knife is not an option for me. After years of ear problems, since childhood, I was always a bit deaf in left ear. Last November 17th this went completely, saw gp who said airily "it will come back". It hasn't.

      After being messed around with nhs appointments I finally got mri scan, was then called back for mri with contrast

      Was then phoned to go to hospital while on holiday,so returned next day.

      To my surprise I was told I had a acoustic neuroma BUT not inmy left ear,but on right side.since my hearing was already poor this made sense as I had dizzy spells, the beginning of last year.

      So with my right ear hearing deteriorating and only 5% in my left ear I am facing a world of silence, either with or without treatment.

      I have also found a large growth behind my right ear, it's boney and on occipital bone, painful now too. Awaiting ultrasound on that.

      My general health is crap, type 2 diabetes, heart problems, cataracts,, arthritis..

      I have tried to be positive about what will happen, and hope eventually I could have cochlear implant.

      My question is how long did you wait for decision and were all the pro's and con's explained.

      I already struggle with 2 hearing aids and do feel like wearing a 'deaf not daft' badge, such is the size of affliction.

      I hope I haven't bored the pants off you, your input would be appreciated, cheers Del.

    • Posted

      Life is never easy it seems.It is almost a year since I had Gamma Knife surgery for AN (Left).I explained earlier that I had rotary vertigo 6 months later.Six months on from that I am still disorientated in open spaces and I have minor balance issues.That is, I still can't walk straight reliably and definately not in circles.I still have pain in the mastoid area and the side of my head is very tender.My vision in the left eye has deteriorated ,that is unusual as it has always been my best eye.I find  deafness is the most distressing and sometimes prefer to be without my hearing aids to feel I am not hearing jumbled sounds.I  am somewhat depressed  but I am not always certain which part of my situation depresses me most.On reflection deafness is hard.As Delpine you say 'Deaf not Daf't', Well,that is my tale of woe.Is there light at the end of the tunnel? I am not sure because I will never know how I would have been without the GK. I am, after all ,80 years old,very grateful that I was able to have the GK ,thanks to the NHS.On the bright side,I live alone,take care of my animals,drive my car, take part in my usual hobbies.Probably I do much more than the average person of my age.

      Like you I had ;watch and wait' for a couple of years until the neuroma had grown sufficiently to require intervention.Once referred my wait was very short and I had the choice of two hospitals that used the tecqnique I required.The worst part of the treatment was fixing the halo,that said everything was painless.

      I researched on line and my consultants  were verp good at explaining the pros and cons.I am aware that my age could have been a deterrent,thankfully in my case it wasn't.

      Well Delphine,I feel that I haven't been very helpful as you can't have GK but it may help you to realise that even with treatment it is difficult to find a fairytale ending.

      Meanwhile I remain determined to enjoy what ever is left of my life.

      My love to you,chin up.Write again if you feel down, Audrey

    • Posted

      Thank you for replying , I think I must be having a bit of a down day. I approve of your opinion that there is no fairy tale ending.it's realistic and honest.one of my biggest grumbles is that friends and family don't really want to discuss it with me. You would swear I had syphilis or something. I have blurry eyes ! Is that cataract or tumour,got to get them done to find out........and so.it goes on. Thanks for offer of 'listening ear' will probably take you up on it.

      I live in Wales. You?

      Cheers del

    • Posted

      Dear Delphine,Thank you for your prompt reply.I am in Lincolnshire in a lovely but busy village.Like you I don't think people ever want to hear how you really are feeling .The problem is in your head and can't be see,. it is difficult to understand if haven't enjoyed the same  problem.if only in part.

      It is natural that as we grow older we have other health problems too,mine is hypertension and is proving very difficult to control.

      Keep smiling,sleep well and keep in touch ,Audrey

      PS There is always something to be thankful for.My thanks go to you for listening to me as I am listening to you. x

  • Posted

    Hello

    I am wondering if anybody had pain before they were diagnosed with AN ? Either ear or headaches? I have had constant ringing in my right ear for a good while now especially at night when I turn over it wakes me up and really hurts, then just over a week ago I woke with what feels like no hearing at all in my right ear , it feels full or like it needs to pop , for the passed 10 days I have either had severe ear ache or headaches. I've lost taste , I can taste things but nothing tastes right or smells right. I'm slightly dizzy on occasions but not too bad and slightly confused. I've been treated for 5 days for shingles although I never had a rash and now my doctors have said it's menieres so I'm being treated my more tablets for that. I also have numbness on my right side of my face. I had a CT scan 7 weeks ago as I had severe numbness on my right side and that was clear. Getting me down now. Any suggestions?

    • Posted

      Kelly, you symptoms point to possible AN. I had the same, and was being treated for continuous ear infections for a full year before I finally sought a second opinion. An MRI scan is 99.9% accurate in detecting AN, so I suggest that you look for one to either rule it in or out. CT scans are not as accurate, so you may actually have one and it was not picked up on your scan. Don't leave it to chance. I did, to my regret, and having suffered profound deafness in my left ear am now facing into a treatment programme on 13th Arpil to have the growing tumour removed. I know the risks involved, and am saddened by the fact that it could have been so avoided if I had acted sooner and sought that 2nd opinion in April 2024 instead. Regards, Mike
    • Posted

      Thank you for your reply. I have a telephone consultation with my GP tomorrow and I think I'm going to have to be a bit tougher!! I wish you well with your treatment

      Kelly

  • Posted

    Thank you for posting. I also have had an extremely positive experience. I was diagnosed in November 2011 with an acoustic neuroma That was 36mm X 30 mm x 26mm. I elected to go with gamma knife treatment as it appeared to be the easiest way to deal with it. (It was not) Although the procedure didn't hurt worse than a bad sunburn. The worst thing about that was getting the frame installed on my head...it was sort of traumatic.

    I suffered all the way to April 2015. The symptoms I had seemed to go in cycles and I could never figure out what caused them. I always had a headache, I did previous to gamma knife as well. I had poor balance, frequent nausea, vertigo, difficulties concentrating...those were the symptoms I had and they constantly cycled and showed up.

    January 2015 during my scan, we discovered the tumor had begin growing again and we made the choice to have it removed. I had a skull base surgery, called Sigmoid Approach, on April 8,2015.

    This was truly one of, if not the greatest, experience of my life. The surgery lasted nearly 10 hours and there was difficulties from the previous gamma knife. Lots of scar tissue and plus the location of tumor put it dangerously close to brain stem and jugular vein.

    The surgery was on a Wednesday and because of the steroids I remained awake until Friday night. Upon waking the very first thing I noticed was that my headache was gone. Prior to this surgery, dating back to early 2010, I had a headache all day every day, ranging from 3 to 8 on pain scale.

    I will say the nurses in ICU didn't like me too much because I was awake and had needs. Mostly water for my extremely dry mouth.

    I took the morphine that first night and on the 2nd morning. At dinner and bed time I took oxycodone.

    The next day I woke up and I still did not have the headache I had become accustomed to. I only took tylenol for the pain and it was sufficient. In fact that morning dose of tylenol was the last pain medicine I took for this surgery. I only mention all that because I am a recovering addict. I just celebrated 6 years clean.

    I was released from the hospital on April 13th (5 days total, 3 of them was in ICU). I was in zero pain, in fact that same day as we got home we went to look at a house.

    I returned to work after 6 weeks and we bought a house in July and renovated it and moved in on August 1.

    I have never been so scared as i was going into that surgery. Fears of using pain medicine, that my face would be paralyzed, or that something more serious could occur...like a stroke or something. I just knew my life was going to be different, mostly projected bad stuff. I believe that is why I'm so grateful. My life did change, but for the better.

    So, to get with why I'm even posting, it has been 6 months since the surgery and I am just now experiencing painful sensations. I realize it's probably just nerve cells healing, but for whatever reason, I am getting acute ear pain, and it hurts to lay down on that side. In fact it is hurting so much I can't sleep. Would like to get some experience, strength, and hope.

    Thank you

    • Posted

      Did you have any hearing loss before or after your surgery? My husband is contemplating surgery for his AN and currently has minimal if any hearing loss. We are also trying to weigh the options of where to have the surgery. Can you give us any insight on any of this?
  • Posted

    H Caris,Lovely to hear your story,you do seem to have had a number of things to overcome but hopefully now you are going to win the battle. From my point of view,apart from fixing the halo,the treatment wasn't traumatic at all.I had been told that there was a 1% chance of vertigo/head pain etc 5/6 months post treatment.However  I was quite unprepared for the sudden attack of Rotary Vertigo 5months post treatment.Lots of mastoid and head pain plus most awful vertigo.I spent almost 3 months clutching walls when I dared to move. I live alone and caring for 4 dogs was very dfficult.Bless them they tolerated not going for walks for quite some time.Good news!!The pain gradually subsided and my head felt less full of custard.??As soon as I could drive I went back to dog training (Competitve Obedience). Y.ou have to  walk in straight lines and make turns on command.I think I looked rather drunk but I am succeeding.One year from treatment my  tumour hasn't grown and my self inflicted therapy seems to be working.I am waiting fot VRT(vestibular rehabilitation therapy),by the time I get it I don't think I shall need it.What the future holds I don't know,I am 80 years old and truly count my  blessings.I can do anything I want except climb ladders(a trifle uneccessary anyway)I climb up church tower steps regularly to ring ,anything up to 60 steps,sadly I can't hear as clearly as I want but heyho,I can still ring.

    So ,a story of great hope for me and I hope for others with the same problem.

    • Posted

      Five months on I would like to continue from my last entry.

      I can now walk in a straight line and circles are usually ok.I don't feel unbalanced when walking in spacious areas and best of all no pains in my head.Hopefully my autumn check up will say my ' an '  shows no further growth.It is 18 months since I had Gamma knife surgery.

      My deafness continues to be something I find difficult to deal with as all my hobbies rely on sound and hearing.At 80 years old I had a degree of deafness in both ears  BEFORE my neuroma was diagnosed

      .In reality I have absolutely nothing to complain about.

      Stay with it people,hopefully  -   wih patience  -  your outcomes will be successful too.

       

  • Posted

     in a few cases, it may grow rapidly and become large enough to press against the brain and interfere with vital functions.

    Treatments for acoustic neuroma include regular monitoring, radiation and surgical removal.

    • Posted

      2 years after gamma Knife surgery.My tumour has shrunk.

      My balance issues are still a nuisance but bearable.

      Deafness is my most unpleasant problem.

      HOWEVER

      I don't have tinnitus or any nerve involvement in my face .

      I have no head pains.

      I am as well as I think I shall ever be.

      I would say that in spite of a few problems a long the way Gamma Knife surgery has been a success for me.

      I think we must be positive on our journey and do our best to deal with problems that may arise.My thanks go to all the medical staff who have helped me on my way.

    • Posted

      Hi Audrey~

      I went thru Gamma Knife treatment 10 days ago.

      My hearing seemed to improve for 5 days, then on the 6th, I woke up deaf in my right ear.

      The headaches have subsided, but are not gone. The ringing has subsided, but not gone.

      I am curious if this is just a stage of healing?

      Naturally, I am seeking an optimal outcome, and I would Ike at least some hearing in my AN ear.

      plus no pain, no ringing.....

      I am grateful that I never suffered from dizziness, nor nausea...

      Very disoriented when I first wake up....

      Am I reacting too soon?

      What was your experience?

      Harmon

    • Posted

      Hello,I had Gamma knife surgery for AN almost three snd a half years ago.

      For the first week I was just very tired.I began to get pain in my head on the affected side.My hearing in that ear was already poor.Five and a half months post surgery I suddenly developed rotary vertigo.For months I had no idea where my head was and had to cling on walls to feel safe.

      The head pains and balance issues have slowly subsided although I am still not good in the dark. (amazing how much help eyes are with balance)

      Sadly my hearing has deteriorated further.I now use a by cros hearing aid which I find useful but not everyone does.

      I have only ever had mild tinnitus.

      My good !! ear is not good so hearing is a problem,thankfully I lip read quite well.

      I have asked myself if I regret having the surgery,Three years later I don't.Everyone doesn't lose so much hearing,sadly I did.Nevertheless the surgery was successfuk and I am fine.

      Good luck .

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