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Balance

The vestibular system:

  • controls balance
  • controls posture
  • regulates locomotion and other movements
  • provides conscious awareness of orientation in space
  • provides conscious awareness of visual fixation in motion

Balance can be impaired by:

  • disease
  • altered gravity
  • aging
  • exposure to unusual motion

When balance is impaired, normal movement is affected, as well as motivation, concentration, and memory.

An estimated 2 million adults suffer from chronic dizziness or difficulty with balance. It particularly affects people aged 65 or older.

Source: National Institute on Deafness and Other Communication Disorders (NIDCD)








 
Acoustic Neuroma

What is Acoustic Neuroma?
Acoustic Neuroma is a non-cancerous tumor that may develop from an overproduction of Schwann cells that press on the hearing and balance nerves in the inner ear. Schwann cells are cells that normally wrap around and support nerve fibers. If the tumor becomes large, it can press on the facial nerve or brain structure.

What are the Symptoms of Acoustic Neuroma?
The following are the most common symptoms for acoustic Neuroma, however, individuals may experience symptoms differently.

When a Neuroma develops, it may cause any/all of the following:

  • hearing loss
  • tinnitus
  • dizziness
  • paralysis of a facial nerve
  • life-threatening problems in the brain

The symptoms of acoustic Neuroma may resemble other conditions or medical problems. Consult a physician for a diagnosis.

What are the Different Types of Acoustic Neuromas?
There are two types of acoustic Neuromas:

  • Unilateral acoustic Neuromas affect only one ear, and:
  • account for 8 percent of all tumors inside the skull.
  • may develop at any age, but most often occur between the ages of 30 and 60.
  • may be the result of gene damage caused by environmental factors.
  • Bilateral acoustic Neuromas affect both ears, and:
  • are hereditary, caused by a genetic disorder called neurofibromatosis-2 (NF2).
  • develop in the teens or early adulthood.

How are Acoustic Neuromas Diagnosed?
Because symptoms of acoustic Neuromas resemble other middle and inner ear conditions, they may be difficult to diagnose. Preliminary diagnostic procedures include ear examination and hearing test. Magnetic resonance imaging (MRI) scans help to determine the location and size of the tumor.

Early diagnosis offers the best opportunity for successful treatment.

Treatment for Acoustic Neuroma:
Specific treatment will be determined by the physician(s) based on:

  • patient's age, overall health, and medical history
  • extent of the disease
  • expectations for the course of the disease
  • patient's tolerance for specific medications, procedures, or therapies
  • patient's (or family's) opinion or preference

Treatment may include surgery to remove small acoustic Neuromas. Surgery for larger tumors is complicated by the probable damage to hearing, balance, and facial nerves. Another treatment option is radiosurgery using carefully focused radiation to reduce the size or limit the growth of the tumor.





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