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Acoustic Neuroma Treatments

Acoustic neuroma treatments include acoustic neuroma fractionated stereotactic radiosurgery, microsurgery or even observation.

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Selection of the acoustic neuroma treatment follows the complete understanding of the potential benefits as well as risks of the treatments.

Subscribe to the Acoustic Neuroma Mailing List (Listserve) for discussions of options for treatment.
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Acoustic Neuroma Questionnaire

The form below allows the current clinical facts of the acoustic neuroma to be relayed in order to facilitate further discussion of the acoustic neuromas. This acoustic neuromas discussion can include the relative merits of surgery, radiosurgery or observation with close MRI surveillance of acoustic neuromas.

Please complete the form and press the "Send Form" button at the end of the page. Dr. Williams can then supply the information to you for your review and consideration.

Email Dr. Jeffery Williams jw@jhu.edu.

The decisions related to treatments for the acoustic neuromas depend upon the complete understanding of the competing risks vs. benefits for the different treatments. Options for acoustic neuroma treatment may include surgery or radiosurgery. The FSR (fractionated stereotactic radiosurgery) for acoustic neuromas is an important option for treatment. The important considerations for treatments of the acoustic neuromas include the size and rate of growth, as well as the progression of any symptoms (hearing, balance, ringing (tinnitus)).

Click Here for Dr. Williams C.V. Curriculum Vitae: Dr. Jeffery Williams
Director, Brain Tumor Radiosurgery
The Johns Hopkins Hospital
Board Certified: Neurological Surgery
Board Certified: Radiation Oncology
Email Dr. Jeffery Williams.

Email Address: jw@jhu.edu
Phone: 410-614-2886
Fax: 410-614-2982


  • Your email address (if response is desired):

  • INITIAL Symptoms

    What were the INITIAL SYMPTOMS of the acoustic neuroma?

    Decreased Hearing

    Ringing in ears (tinnitus)

    Facial numbness

    Facial weakness

    Decreased hearing and ringing in ear(s)

    Decreased hearing, ringing in ear(s) and facial numbness

    Decreased hearing, ringing in ear(s) and facial weakness

    None (no symptoms)

    Symptoms other than above or in different combination:



  • FIRST Date of Diagnosis: What is the FIRST DATE OF THE DIAGNOSIS of the first (or current, if no prior) acoustic neuroma?

    Date:




  • Method of Diagnosis

    How was the FIRST (or current if no prior) acoustic neuroma diagnosed?

    Surgery

    MRI



  • Size of tumor INITIALLY

    What was the largest dimension (in centimeters) of the Acoustic Neuroma (or largest Acoustic Neuroma if more than one)?

    One Centimeter

    Two Centimeters

    Three Centimeters

    Four Centimeters

    Five Centimeters

    More than Five Centimeters



  • What was the INITIAL largest dimension (in centimeters) of the SECOND Acoustic Neuroma (if more than one)?

    Not Applicable

    One

    Two Centimeters

    Three Centimeters

    Four Centimeters

    Five Centimeters

    More than Five Centimeters



  • What is the result of the audiometry (hearing) test performed prior to any treatment? (Normal or Abnormal)

    Normal



    Abnormal



    Study not done



  • What is the result of the MOST RECENT audiometry (hearing) test? (Normal or Abnormal)?

    Normal



    Abnormal



    Study not done



  • Speech Discrimination

    Are initial speech discrimination studies (if done) normal or abnormal?

    Normal speech discrimination study

    Abnormal speech discrimination

    Study not done



  • Location

    What is the LOCATION of the acoustic neuroma?

    Internal auditory canal without extension into posterior fossa

    Internal auditory canal with extension into the posterior fossa but without compression of the brainstem

    Internal auditory canal with extension into posterior fossa and with compression of the brainstem

    Other



  • Number (unilateral vs. bilateral)

    How many acoustic neuromas were there initially prior to any treatment, right after diagnosis?

    One (solitary)

    Two (Diagnosis of NF-2: see below)



  • NF Type I or II: Has a diagnosis of Neurofibromatosis Type I or II been made?

    No

    Yes: Type I

    Yes: Type II



  • Method of INITIAL Treatment

    How was the first acoustic neuroma INITIALLY treated?

    Observation Only

    Subtotal Resection

    Total Resection

    Stereotactic Radiosurgery

    Other



  • What was the DATE of the INITIAL treatment for the FIRST acoustic neuroma?







Current Acoustic Neuroma
  • What is the DATE of the DIAGNOSIS of the CURRENT acoustic neuroma (if different from above)?.




  • Number of Tumors: How many acoustic neuromas are there NOW?

    One

    Two



  • Current Treatment: How has the CURRENT acoustic neuroma(s) been treated so far?

    Observation

    Subtotal Resection

    Total Resection

    Stereotactic Radiosurgery


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Thank you for completing the form.





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