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Acoustic Neuroma Treatment in Germany - Best Hospitals, Doctors, Prices - Booking Health

Treatment of Acoustic Neuroma in Germany

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Cost for Treatment of Acoustic Neuroma in Germany

The figures below show average prices for key services. Your final quote depends on the clinic, scope of diagnostics and length of stay.

Acoustic neuroma diagnosis
2420
Microsurgical resection of acoustic neuroma with decompression
21241.8
Treatment of acoustic neuroma by stereotactic radiosurgery using Gamma Knife
13066.17
Neurological rehabilitation Phase C
2000

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Top Hospitals for Treatment of Acoustic Neuroma in Germany

Each hospital in this list meets Booking Health’s strict international standards: at least 250 surgeries per year, ISO‑certified quality management, and documented survival outcomes. Our medical board then ranks the clinics by clinical expertise, technology, and patient‑satisfaction scores.

University Hospital Tuebingen
Germany, Tuebingen
University Hospital Tuebingen
Overall rating9.2 / 10
According to the prestigious medical publication Focus, the University Hospital Tuebingen ranks among the top five German hospitals! The hospital was founded in 1805, therefore it is proud of its long history, unique experience, and outstanding achievements in the field of medical care, as well as research and teaching activitie
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Charite University Hospital Berlin
Germany, Berlin
Charite University Hospital Berlin
Overall rating9 / 10
According to the reputable Focus magazine, the Charite University Hospital Berlin ranks 1st among the best healthcare facilities in Germany! The hospital is one of the largest and leading university medical complexes in Europe, and also consistently holds leading positions in the international medical arena. The Charite operates
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University Hospital Freiburg
Germany, Freibung
University Hospital Freiburg
Overall rating9.7 / 10
The University Hospital Freiburg is famous for its rich history and is one of the oldest and most prestigious medical facilities in Germany (one of the three best medical institutions in the country). The hospital was based on the Faculty of Medicine of the Albert Ludwig University of Freiburg, which celebrated its 550th anniver

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An acoustic neuroma (vestibular schwannoma) is a benign tumor that grows slowly. This neoplasm always requires treatment, since the tumor causes severe symptoms and can lead to serious complications. This is usually a unilateral tumor, but in people with neurofibromatosis type 2, it may be bilateral. The treatment of acoustic neuroma in Germany involves the use of stereotactic radiosurgery and neurosurgical operations.

Content

  1. Diagnostics
  2. Treatment options
  3. Operations for an acoustic neuroma

Doctors in Germany treat an acoustic neuroma with surgery or radiosurgery: through a targeted and non-invasive irradiation of the tumor.

You can undergo your treatment in one of the following hospitals: Charite University Hospital Berlin, University Hospital Freiburg, or University Hospital Tuebingen.

Please leave your treatment request on the Booking Health website. The specialists of the Booking Health company will select a clinic and a doctor, make an appointment for you, and fully organize your trip to Germany. They will help you to apply for a visa and get to the clinic, provide interpreting services, take care of your medical insurance, and help with any questions that may arise. A personal medical coordinator will be in touch with you 24/7.

Diagnostics

 

Most patients see a doctor because of hearing loss or symptoms associated with an increased intracranial pressure. Hearing is lost on one side, due to the impaired integrity of the cochlear nerve or a violation of its blood supply.

Other clinical manifestations are as follows: 

  • ringing in the ears;
  • deteriorated understanding of words; 
  • dizziness; 
  • headaches; 
  • facial numbness. 

With an increase in size, the acoustic neuroma causes other symptoms associated with lesions of the nearby cranial nerves and areas of the brain. A patient may suffer from instability during head movements, nystagmus, lacrimation, facial muscle weakness, pain in the trigeminal nerve innervation zone, hoarseness, swallowing disorders, unsteadiness when walking, or speech disorders. With an increase in intracranial pressure, due to the impaired cerebrospinal fluid outflow, patients have elevated blood pressure, deteriorated mental abilities, and their consciousness may be disturbed.

The main method of instrumental diagnostics of the disease is an MRI scan. With the help of this test, the doctor can see the acoustic neuroma, assess its location, and choose the best treatment option.

Treatment options

 

One of the following three tactics can be used for treatment of an acoustic neuroma:

Watchful waiting. This strategy is chosen in children and elderly patients with severe comorbidities that make acoustic neuroma treatment unsafe. However, if the tumor grows or causes any symptoms and complications, then the specialists proceed to an active treatment.

Stereotactic radiosurgery. This treatment option allows for the destruction of the neoplasm with the help of irradiation. The specialized German centers use the CyberKnife system. It differs from other systems, such as the Gamma Knife, in its frameless fixation with a customized thermoplastic mask or vacuum mattress. As a result, a person does not need any stereotaxic frame, which is screwed to the skull. Radiosurgery is safer than surgery. In addition, this treatment method is non-invasive, painless, fast, and does not require any rehabilitation. It can be used in most patients, but severe brainstem or hypertensive-hydrocephalic (associated with increased intracranial pressure) symptoms are considered limitations.

Microsurgical resection. This therapeutic option is the most effective treatment for an acoustic neurinoma of any size, and quickly eliminates any clinical symptoms. In Germany, such operations are performed by experienced neurosurgeons, so you can count on a successful surgical intervention without any complications, and the preservation of your hearing.

Operations for an acoustic neuroma

 

An acoustic neuroma often has to be removed with surgical techniques. Doctors use different approaches to access the tumor and remove it.

Retrosigmoid approach. This approach is the main one in skull base surgery. It provides good access to the cranial nerves located in this area. With this approach, doctors can remove a tumor of any size and have the possibility of preserving a patient’s hearing.

Middle cranial fossa approach. This approach is also a hearing-sparing technique and is most suitable for tumors with a dominant intratubular component and a small cisternal component. The main disadvantage to this approach, is the need to involve the temporal lobe of the brain, which can lead to postoperative seizures.

Translabyrinthine approach. This is an approach through the inner ear, which is suitable for patients with large tumors and a lack of normal hearing. The advantage is that the facial nerve can be easily protected and the cerebellum does not need to be displaced. However, the approach to the contents of the jugular foramen and lower foramen magnum is limited.

The healthcare professionals in Germany take an individual approach to the planning of the operation in order to obtain the best functional outcomes, reduce health risks, and at the same time, achieve the goals of the surgical intervention.

To undergo your acoustic neuroma diagnostics and treatment in one of the German hospitals, you are welcome to make your appointment using the Booking Health service. Our website offers the actual prices that are relevant at the moment. Due to the absence of additional coefficients for foreign patients, the cost of making your treatment appointment through our service is lower than when contacting the clinic directly. The specialists of the Booking Health company will help you to choose the most suitable clinics in Germany for your acoustic neuroma treatment and organize your trip.

 

Authors: 

The article was edited by medical experts, board-certified doctors Dr. Vadim Zhiliuk and Dr. Sergey Pashchenko. For the treatment of the conditions referred to in the article, you must consult a doctor; the information in the article is not intended for self-medication!

 

Sources:

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