Symptoms, diagnosis and treatment of neuroma
every year one person out of 100,000 people are diagnosed with acoustic neuroma. acoustic Neuroma is predraspolozhennost to growth of a benign nature. According to the classification ICD-10 disease refers to disease of peripheral nerves and autonomic nervous system. Its effects and complications can lead to deafness one or both ears. So treat the acoustic neuroma should seriously. To run the disease and refuse treatment to the doctor is dangerous. Complications can affect the quality of life very much.
In percentage terms the growth is owned by 12% of all tumours diagnosed in the brain. Found in people over 30 years. Children who have not reached puberty, the disease is not typical. Sex acoustic neuroma is most common in women. In 95% of the disease affects one ear, another 5% in case of bilateral lesions.
In most cases, the tumor is a tumor, the growth of which is insignificant. To prove themselves it maybe in a few years. Often in the practice of recorded cases, when the tumor shows resistance, remaining the same size. This condition does not require any treatment, only regular medical observation.
Why a disease occurs?
Anatomically, the auditory nerve consists of 3 parts:
- upper and lower vestibular part.
Typically, striking is a neuroma vestibular portion of the nerve. But although doctors know precisely the location of tumors, the cause is unknown.
Many Years of practice has not given medical information to establish the risk factors, the impact of which the person to develop neuroma. However, there is an assumption that another risk factor is a genetic mutation of autosomal dominant type of neurofibromatosis. The disease manifests itself in the form of neurofibromas. These tumors are of benign nature are also striking in the auditory nerve. This condition can cause the development of neuromas with damage to both sides.
How to develop pathology?
In the pathogenesis of the disease are three stages:
- At this stage, the tumor is small – 2 to 2.5 cm, However, the patient is seen deafness and impaired ability to maintain stability, a slight paresis or paralysis of the facial nerve.
- Tumor is approaching the parameters of a walnut. The above symptoms becomes more vivid the emotional and psychological overtones. At the brain stem under pressure. As a consequence – the difficulty of retaining the position of the body in smooth condition by turning your head.
- Tumor grows to the size of a chicken egg. The effects of the sudden compression of the brain very serious mental problems, and vision.
Symptoms of neuromas
As a result, the tumor compresses the cochlear part of the nerve, a person may note a hearing loss.
This is the first symptom to which you should pay attention. In medical practice there are cases when the tumor reached such a size that peredavlivali vasomotor and respiratory centers. However, such conditions are extremely rare.
Compression of the cochlear part of the nerve is put three groups of the most significant symptoms:
- signs that the affected nerves of the brain;
- symptoms of compression of the brain stem the brain;
- the imbalance in the cerebellum.
The First symptoms are the earliest manifestations of neuromas. They are noted in 95% of patients. Patients report ringing in the ears and hearing loss.
Regardless of the stage of the disease patients notice these warning signs:
- gradual or sudden hearing loss;
- ringing in the ear
- problems with coordination and stability;
- tingling and numbness of the face.
Diagnosis and treatment
During the initial examination, the doctor discovers the patient phenomena which disturb him, studying the rest of this file.
If you suspect that the patient has a tumor, thorough hardware diagnostics. It can be:
- audiogram – allows you to define the power of hearing;
- hearing test
- magnetic resonance imaging
- CT scan
Diagnosis may involve only a few devices and methods. The final decision is taken by the doctor based on the patient's condition and the brightness of the expression of symptoms.
Treatment of neuromas has threedirections:
- surgical intervention;
- radiation therapy.
To observe the doctor calls in some cases:
- small tumour and without surgery to do at the moment;
- the symptoms either completely absent or have no bright symptoms;
- health, old age;
- the location of the tumor in place, which is extremely unfavorable for surgical intervention.
To control the condition, the doctor uses imaging and methods of testing the acuity of hearing. To help ease the state of painkillers, anti-inflammatory and diuretic drugs. In some cases, the doctor may ask the patient to keep a diary, in which shall be entered daily information about health. Treatment involves surgical removal of the tumor. Great value during the operation is the qualification of the surgeon, it faces the challenge not to compromise the integrity of the facial nerve.
removal of the tumor is performed under General anesthesia. The operation is accompanied by a craniotomy. The availability of microsurgical instruments allows the surgeon to make extremely precise movements. Recovery after surgery usually takes from 6 to 12 months. Radiation therapy is the most effective method of treatment. For holding used a "gamma knife". In fact, it is the operation without surgery, since no incisions the surgeon does not. Effect on the tumor is radiation beam. The process does not cause any unpleasant sensations.
It is Important to remember that radiation therapy there are side effects: nausea, pain in the neck. Later, there may be a hearing loss.
After the tumor is removed, patients are prescribed a course of drugs, which are aimed at maintaining the optimal condition of the body and to restore lost functions of the brain. Also be prescribed diet, therapeutic exercises, physical therapy.
The Specificity of the location of neuromas is not possible to apply the treatment folk remedies. At the same time, these methods have shown their positive effects on the body during the rehabilitation period. Among the herbs that are used:
- Sophora japonica
- horse chestnut
- knyazhik Siberian;
- globe Thistle
- common comfrey.
Before you start using any herbs, you should consult with your doctor. To use traditional medicines only after his approval.