Recent Posts

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71
Inquiries / Re: New here, with questions.
« Last post by Kody on February 22, 2025, 12:52:40 pm »
How can I ask question?  I would love to know what treatment people have received and did it work??  I’m recently dx and I’ve very nervous.
Thank you Kody
72
Radiation / Radiosurgery / Re: Anyone has had radiation after surgery?
« Last post by Swissdude on February 22, 2025, 02:39:46 am »
Hi Carolina,

My first post here.  Saw your post and felt I must reply!

While I have not had the radiation treatment yet, I will in 3 months time.  I am in Switzerland and at the hospital in Lausanne where I am being treated (CHUV), this is standard practice.  They leave a little bit behind in order to ensure the nerves are not damaged.  I just had my 3cm AN/VS removed on 17 Feb, only 5 days ago with good results - have some hearing left in my left ear, balance is OK and no facial nerve issues.  It took 9 hours and I still feel in a fog which is annoying, but each day is better.  The retrosigmoid scar is quite impressive!

My surgeon told me the remains of the tumor "ball up" after a few months making it easy to zap with radiation.  They would normally use the gamma knife to do it, but now that importing radioactive substances into Switzerland is illegal, they cannot get the cobalt isotope for the GK machine and we will have to use another method. 

Rest assured you are not the only one.  And if you ask me, removing most of the tumor surgically and treating the small remainder with radiation makes good sense! It allows for the nerves to be preserved more easily.

Good luck!
Andy
73
Hearing Issues / Article on inflammatory response to AN and hearing loss
« Last post by mwatto on February 22, 2025, 12:00:38 am »
I found this 2019 article interesting. https://www.sciencedirect.com/science/article/abs/pii/S0378595519301339?via%3Dihub
In summary: Vestibular schwannoma (VS) is the fourth most common intracranial tumor, arising from neoplastic Schwann cells of the vestibular nerve and often causing debilitating sensorineural hearing loss (SNHL) and tinnitus. Previous research suggests that the abnormal upregulation of inflammatory pathways plays a highly significant, though infrequently described role in VS pathobiology, and that VS-associated SNHL is due not only to mechanical compression of the auditory nerve but also to differences in the intrinsic biology of these tumors. We hypothesize that patients who present with poor hearing associated with VS experience a more robust inflammatory response to this tumor than VS patients who present with good hearing. To investigate this hypothesis, we conducted a comprehensive pathway analysis using gene expression data from the largest meta-analysis of vestibular schwannoma microarray data, comprising 80 tumors and 16 healthy peripheral nerves. We identified the NLRP3 inflammasome as a novel target worthy of further exploration in VS research and validated this finding at the gene and protein expression level in human VS tissue using qRT-PCR and immunohistochemistry. To date, NLRP3 inflammasome activation has not been reported in VS, and this finding may represent a new and potentially significant therapeutic avenue. Notably, after analysis of 30 VSs, we observe that overexpression of key components of the NLRP3 inflammasome is preferentially associated with tumors that produce increased hearing loss in VS patients. Therefore, therapeutic development for VS should include considerations for minimizing NLRP3-associated inflammation to best preserve hearing.

I then googled natural compounds that target NLRP3 inflammasome and there are quite a few. Might be helpful. Here is a link to some: https://pmc.ncbi.nlm.nih.gov/articles/PMC5031844/
74
AN Issues / Re: Pregnancy after AN Treatment: Risk of Regrowth/Hormone growth??
« Last post by mwatto on February 21, 2025, 07:47:57 pm »
I am unsure re hormones but was in our news how progesterone a factor for meningiomas. I think its this hormone more than estrogen which may be a factor. My AN diagnosed at age 55 - I had been on HRT and this may have increased growth. My specialist felt mine was a very old AN and I have had two children so possibly it had started and stopped - then started with the HRT years later.  Its interesting that mifpresterone is being looked at for AN. Mifepristone (RU486) is a progesterone and glucocorticoid receptor antagonist. The truth is there are many pathways that cause AN growth and hormones may or may not be a factor since from what I have read ANs are unpredictable and are not all the same. They can track without contrast. A baby is such a blessing!
75
Balance Issues / Re: Worsening fatigue after exercise
« Last post by Karin Mauro on February 21, 2025, 11:43:53 am »
I’m 3 months post op. I had a sub occipital craniotomy and had a couple of months of vestibular rehab for disequilibrium. The therapy was pretty helpful to where I was feeling very close to “normal”. I have noticed though that if I exert myself much more than usual my equilibrium is back to pre therapeutic stumbling. Also the headaches are worse. I’m not a runner but I feel like regular walking while looking around is helpful in returning to baseline. I wish you well.

Karin
76
AN Issues / Pregnancy after AN Treatment: Risk of Regrowth/Hormone growth??
« Last post by mr6789 on February 21, 2025, 08:55:44 am »
Hi all,

I am considering pregnancy and am trying to understand the risk of regrowth after my tumor has been treated.  Here is the background on my tumor.  In October 2019 I got an MRI because I was having strange symptoms (I thought I had a brain tumor),  I was told the MRI was normal.  A year and half later I had my daughter in March, 2021.  3.5 weeks after having her I was diagnosed with a large Acoustic Neuroma.  I was told by my neurosurgeon that the tumor was actually present in the 2019 scan but was very small so it was missed.  The tumor when found in 2021 was 2.6 cm (large and pressing on my brain stem) so it seems anecdotally that pregnancy hormones may very well contributed to my tumors accelerated growth (though no one can tell me for sure).  I had retrosigmoid surgery to remove the tumor in July '21.  They left a small amount of tumor (10%) due to risk of compromising the facial nerve.  The residual tumor was treated with Radiation in February '22. 

Since that time, following radiation the tumor was initially stable for one year.  In August '24 the tumor doubled in size, initially my neurosurgeon told us we needed another brain surgery, however my radiation oncologist told us to wait as the tumor may have doubled in size due to the radiation treatment.  I have had 2 scans since (Nov '24 & Feb '25) both scans have been "stable and unchanged".

I am almost 40 and would like to expand my family, though have concerns about regrowth.  My radiation oncologist thinks it is safe for us to try for pregnancy.  He claims Acoustic neuromas are not typically affected by pregnancy hormones - though as I stated my history above that doesn't seem to be the case for me - anyone else??

Has anyone gotten pregnant after their tumor was treated?  If so, did you experience regrowth?  What type of treatment did you have radiation or surgery or both?  Were you able to get MRIs with contrast safely throughout your pregnancy? 

My biggest fear now is that my tumor is almost the same size it was when it was resected back in 2021.  So if it were to regrow their isn't a ton of space to expand, the risk feels higher to me, but no one is really able to give me a clear recommendation. 

Would love to connect with anyone who is able to offer insight here!  Thanks so much,
Michelle
77
AN Issues / Re: The issue of contrast with MRI
« Last post by DanFouratt on February 19, 2025, 06:26:40 pm »
Thanks, I pretty much do the same except the testing on the MRI. 
78
Hearing Issues / Re: Hearing Music
« Last post by DanFouratt on February 19, 2025, 06:11:07 pm »
Karin,

thanks for sharing, I am glad I am not the only one.  I hope it disappears for you too.

Take Care,

Dan
79
Hello, I’m new to this forum and would appreciate any advice or support. I had surgery to remove an acoustic neuroma a few months ago, and while physically I'm recovering well, I’ve been dealing with a lot of emotional ups and downs.

Some days I feel like myself again, but on others, I experience intense feelings of frustration, sadness, and anxiety. I didn’t expect this emotional rollercoaster, and it’s been difficult to cope with. I know cognitive issues like memory lapses and trouble concentrating can be common after this surgery, but I didn’t realize how much it would affect my mood and mental well-being.

Has anyone else experienced similar emotional or cognitive challenges post-surgery? How did you manage these changes, and do you have any strategies for dealing with the emotional impact during recovery?

Any advice or shared experiences would be greatly appreciated. Thank you!
80
Hearing Issues / Re: Hearing Music
« Last post by Karin Mauro on February 18, 2025, 01:29:35 pm »
I must be crazy too, I’ve heard music a few times. I also get “pings” occasionally, from the aliens I guess…
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