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University Hospital Muenster

9.8/10 from78 Votes

The University Hospital Muenster is one of the most respected multi-field medical centers in Germany. It consists of more than 30 departments and numerous research institutes and centers. Every year over 58,000 inpatients are treated here and nearly 475,000 patients receive medical care on the outpatient basis.

Acoustic neuroma diagnosis
2053
Microsurgical resection of acoustic neuroma with decompression
15846
location_onCountry: Germany
location_searchingCity: Muenster
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Gamma Knife and Radiotherapy Center Krefeld

10/10 from2 Votes

The Gamma Knife and Radiotherapy Center Krefeld is the advanced center, which specializes in stereotactic radiosurgery and stereotactic radiation therapy for tumors and metastases.

Treatment of acoustic neuroma by stereotactic radiosurgery using "gamma knife"
9913
location_onCountry: Germany
location_searchingCity: Krefeld

Gamma Knife and Radiotherapy Center Hannover

10/10 from23 Votes

The Gamma Knife and Radiotherapy Center Hannover is the best clinic for radiosurgery and radiation therapy in Germany. The clinic enjoys authority in the medical world. The treatment of tumors is carried out with the use of an innovative approach.

Treatment of acoustic neuroma by stereotactic radiosurgery using "gamma knife"
10024
location_onCountry: Germany
location_searchingCity: Hannover

Charite University Hospital Berlin

9/10 from95 Votes

Being the medical school for both Humboldt University and Free University of Berlin and having a long experience, the Charite Hospital has gained wide recognition. It is regarded as one of the most research-intensive medical facilities in Germany and the largest university medical center in Europe.

Acoustic neuroma diagnosis
2737
Microsurgical resection of acoustic neuroma with decompression
23628
location_onCountry: Germany
location_searchingCity: Berlin
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University Hospital Rechts der Isar of the Munich Technical University

10/10 from70 Votes

The Rechts der Isar Hospital is the University Hospital of the Technical University of Munich. There is intensive cooperation between the research facilities of the TU and the hospital in numbers of areas.

Acoustic neuroma diagnosis
2040
Microsurgical resection of acoustic neuroma with decompression
16013
location_onCountry: Germany
location_searchingCity: Munich
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University Hospital of the Ludwig-Maximilians-University Munich (LMU)

9.2/10 from40 Votes

The Hospital of the Ludwig-Maximilians-University (LMU) Munich is a center of high-end medicine, medical innovation and medical and technical progress, which enables an individual and safe patient care.

Acoustic neuroma diagnosis
2251
Microsurgical resection of acoustic neuroma with decompression
17763
location_onCountry: Germany
location_searchingCity: Munich
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University Hospital Frankfurt am Main

10/10 from97 Votes

The University Hospital Frankfurt is part of the Johann Wolfgang Goethe University Frankfurt am Main. The hospital was founded in 1914 and today it is a famous German medical institution with rich traditions. The hospital treats about 49,000 inpatients and 220,000 outpatients every year.

Acoustic neuroma diagnosis
2158
Microsurgical resection of acoustic neuroma with decompression
16032
location_onCountry: Germany
location_searchingCity: Frankfurt am Main
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Sana Hospital Duisburg

9.8/10 from5 Votes

The Sana Hospital Duisburg is a maximum care medical center with 678 beds and 17 specialized departments. With the very latest innovations and high quality patient care, the clinic works for the benefit of a person and their health. The hospital ranks among the leading clinics in the region.

Acoustic neuroma diagnosis
2035
Microsurgical resection of acoustic neuroma with decompression
15867
location_onCountry: Germany
location_searchingCity: Duisburg
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HELIOS Clinic Krefeld

9.7/10 from38 Votes

Founded in 2014, the HELIOS Clinic Krefeld is one of the most modern medical facilities in Germany today. A team of highly qualified specialists, innovative medical equipment and comfortable accommodation conditions – the clinic has everything to make the treatment run smoothly and efficiently.

Acoustic neuroma diagnosis
1670
Microsurgical resection of acoustic neuroma with decompression
13956
location_onCountry: Germany
location_searchingCity: Krefeld

Alfried Krupp Hospital in Essen-Ruettenscheid

7.4/10 from42 Votes

With 900 beds and approximately 2,050 employees in two branches, the Alfried Krupp Hospital is one of the larger hospital institutions in Essen.

Acoustic neuroma diagnosis
2137
Microsurgical resection of acoustic neuroma with decompression
15888
location_onCountry: Germany
location_searchingCity: Essen
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Academic Hospital Schwabing Munich

8.5/10 from7 Votes

The Schwabing Clinic is a modern medical facility with a high level of service. The clinic has high-tech modern equipment, making it one of the best hospitals not only in Germany but also in Europe. There are comfortable single and double rooms with shower and toilet, TV, telephone and radio.

Acoustic neuroma diagnosis
1674
Microsurgical resection of acoustic neuroma with decompression
14065
location_onCountry: Germany
location_searchingCity: Munich

Tel Aviv Sourasky Medical Center

9.9/10 from23 Votes

The Tel Aviv Sourasky Medical Center (Ichilov) is the second largest and one of the most advanced healthcare and research institutions in Israel. Founded in 1961, it still enjoys popularity among the local population and draws thousands of international patients.

Acoustic neuroma diagnosis
0.00
Microsurgical resection of acoustic neuroma with decompression
0.00
location_onCountry: Israel
location_searchingCity: Tel Aviv

University Hospital Cologne

9.8/10 from82 Votes

The University Hospital Cologne is included in the Focus magazine rating of top German hospitals 2017 and offers patients first-class medical care meeting the latest medical advancements.

Acoustic neuroma diagnosis
1596
Microsurgical resection of acoustic neuroma with decompression
13022
location_onCountry: Germany
location_searchingCity: Cologne
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Rambam Health Care Campus Haifa

9.8/10 from23 Votes

Rambam Health Care Campus is the largest and the most advanced hospital in Northern Israel. Founded in 1938, the medical center has a long history and a rich experience in providing comprehensive medical services in all medical specialties.

Acoustic neuroma diagnosis
0.00
Microsurgical resection of acoustic neuroma with decompression
0.00
location_onCountry: Israel
location_searchingCity: Haifa

University Hospital for Neurosurgery Salzburg

9.6/10 from39 Votes

University Clinic of Neurology specializes in the surgical treatment of acute and chronic diseases of the central and peripheral nervous system, its blood supply, and nerve sheaths, as well as in preoperative and postoperative care for patients.

Acoustic neuroma diagnosis
6604
Microsurgical resection of acoustic neuroma with decompression
33686
location_onCountry: Austria
location_searchingCity: Salzburg

University Hospital Tuebingen

9.2/10 from55 Votes

The University Hospital Tubingen - abbreviation UHT - is a modern center of high-quality university medicine, research and teaching. As a clinic of maximum care, UHT is also known far beyond the region. For the city and the district of Tubingen the University Hospital Tubingen functions as a district hospital.

Acoustic neuroma diagnosis
1693
Microsurgical resection of acoustic neuroma with decompression
15787
location_onCountry: Germany
location_searchingCity: Tuebingen
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About the disease

Acoustic (bilateral) neuroma is a benign tumor that develops in the auditory nerve, which is also called an acoustic nerve. The acoustic nerve is responsible for transmitting the acoustic information to the brain and it is located in the inner ear. The incidence rate of acoustic neuroma is two cases per 200,000 population. This tumor occupies  11 - 12% of all brain cancers. Generally the disease is more likely to appear among the individuals between 35 and 45 years. There has never been cases of acoustic neuroma among children and teenagers.

The cause of this condition is still unknown. Usually it appears absolutely suddenly without any gradual aggravation.  Sometimes acoustic neuroma is a sign of neurofibroma, which is a genetic disease. Neurofibroma is an autosomal disorder of a dominant character. This implies that there is a genetic mutation in the chromosome, which can be passed from the parent to the child. If this mutated gene has been present in the system both parents, the child's likelihood to develop the disease is 50%.

There are three stages of this condition.

Stage first - tumor size does not exceed 1.9 - 2.7 cm. Usually the patient loses hearing in one ear.

Stage second - the tumor has the size dimension of a walnut. Symptoms at this stage are more pronounced. Due to the pressure on the stem of the brain the patient experiences impaired balance and coordination of movements.

Stage third - the size of the tumor reaches the size dimension of an egg. 

Symptoms

  • Gradual and slow hearing loss of the ear closest to the tumor, although sometimes it can occur suddenly
  • Distant ringing in the ear of the affected side
  • Dizzy and sluggish movements
  • Violation of stability
  • Partial or full numbness of the face(due to the disorder of the nerve responsible for facial features)

Diagnosis

  • Hearing test is a diagnostic procedure of the acoustic(bilateral) neuroma that measures hearing in both ears
  • Electronystagmography is a test, during which the cold and warm water are poured into the ear canal and the results of dizziness and of eye movements are recorded and analyzed
  • Magnetic resonance imaging uses magnet waves to make clear pictures of the head

Treatment

  • Radiation. There are several types of radiation therapy available at the doctor`s disposal. The most often used method is the stereotactic radiosurgery, also known as Gamma knife. This radiation is directed exactly on the location of the tumor. It does not require any big incisions and surgical interventions. During the irradiation position of the patient's head is fixed into a stereotactic frame. This procedure is conducted under the local anesthesia. During the course of radiation exposure the patient is patient is monitored by the voice as well as video surveillance of his condition. The process of irradiation is absolutely painless. Gamma Knife  has a number of advantages over other methods of radioactive intervention. The goal of every radiation intervention is to stop tumor growth. In this respect the Gamma knife is a perfect solution. It has been successfully used for the irradiation of the remaining tumors which are left after the operation in the deep-seated places where the surgeon's knife can not reach without damaging healthy brain tissue. Gamma knife treatment can vary from 5 weeks to 12 months and even years, depending on the tumor size and effectiveness of the irradiation. The success of radiation therapy  is regularly monitored and later analyzed by the computed tomography.
  • Microsurgical resection aims to remove the neuroma, preserving the nerve responsible for facial features and prevent the hearing loss. Several days after operation the patient needs to be under observation in a hospital. The recovery period may last from 5 to 11 months. During this time the patient is checked in the hospital monthly.



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