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ACOUSTIC NEUROMA OVERVIEWAcoustic neuroma, also known as vestibular schwannoma or acoustic neurilemoma) is a benign neoplasm of the vestibular nerve that is a well known but relatively uncommon cause of unilateral hearing loss. In the present age, it is best detected by gadolinium enhancement. While treatment at one time was exclusively surgical either through a neuro-otological approach or a neurosurgical approach, collaboration among neurotologists, neurosurgeons and radiation oncologists, as well as a better understanding of the natural history the disease, now provides patients with options ranging from watchful waiting through stereotactic radiosurgery (nonoperative tumor control) to several different surgical approaches depending on the patient's specific circumstances. |
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