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Johns Hopkins
Acoustic Neuroma Radiosurgery

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

  • Selection of the acoustic neuroma treatment (stereotactic radiosurgery vs. microsurgery) 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. Your email address:
  • The form below allows the current clinical facts about the acoustic neuroma to be relayed in order to facilitate further discussion of radiosurgery vs. microsurgery and even observation. Please complete the acoustic neuroma 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 Williamsjw@jhu.edu. The decisions related to treatment 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 include the size and rate of growth of the acoustic neuroma as well as the progression of any symptoms (hearing, balance, ringing).

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

    Acoustic Neuroma Symptoms


    Please enter 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 acoustic neuroma?







    Method of Diagnosis

    How was the acoustic neuroma diagnosed?

    Craniotomy (Surgery)

    Only radiographically




    Size of tumor INITIALLY

    What was the largest dimension (in centimeters) of the Acoustic Neuroma?

    One

    Two Centimeters

    Three Centimeters

    Four Centimeters

    Five Centimeters

    More than Five Centimeters




    Audiometry: What is the result of the audiometry (hearing) test performed prior to any treatment?




    What is the result of the MOST RECENT audiometry (hearing) test?




    Speech Discrimination:

    Are initial speech discrimination studies (if done with audiometry) 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 with or without extension into posterior fossa (usual location)

    Other




    Number (unilateral vs. bilateral)

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

    One (solitary)

    Two




    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 prior treatment if done in the past:

    How was the acoustic neuroma INITIALLY treated (if treated in the past)?

    No treatment: observation only

    Subtotal (Partial) Resection

    Total Resection

    Stereotactic Radiosurgery

    Other




    If the acoustic neuroma was treated before now, what was the DATE of the INITIAL treatment?







    Current Acoustic Neuromas

    If the acoustic neuroma was treated in the past and has now returned, what is the DATE of the DIAGNOSIS of the RETURN OF THE acoustic neuroma?




    Current Treatment: For recurrent Acoustic Neuromas

    How has the CURRENT acoustic neuroma(s) been treated so far?

    Observation

    Subtotal Resection

    Total Resection

    Stereotactic Radiosurgery




    Histology: Please enter the histology (appearance under microscope after any surgical resection):

    Benign

    Malignant

    Atypical

    Other (not listed above):






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