Author Topic: Sudden Hearing loss & AN  (Read 5682 times)

sarahwadsworth

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Sudden Hearing loss & AN
« on: September 29, 2015, 09:06:21 pm »
Over the last few months I have read so much on sudden hearing loss and acoustic neuroma that my head is spinning.  :o

I have read that most individuals with AN have gradual hearing loss. I however had sudden hearing loss that is progressively getting worse since onset in July.

I am 39 years old and was diagnosed with a 11 x 5 x 4 mm AN through an MRI last week. My mother had hearing loss in both of her ears. She as well as doctors had always attributed her hearing loss to head trauma (caused by being a victim of domestic abuse). My mothers sister also has hearing loss in one ear and doctors attributed her hearing loss to a stroke she had when she was quite young.

What is the likelihood that my hearing will return, and is it common for the loss to be sudden and get worse quickly?

What is the likelihood that my mothers hearing loss was NF2 and that I have inherited this gene (my MRI shows only one AN)?

I appreciate any help that members can give while I wait for my referral to go through from my ENT.

Diagnosed September 2015
11x5x4 mm
Watch and Wait

CHD63

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Re: Sudden Hearing loss & AN
« Reply #1 on: September 30, 2015, 10:19:25 am »
Hi sarahwadsworth and welcome to this forum .....

While no one wants to hear the diagnosis of an acoustic neuroma, you have come to a good place for support and caring.

I hope while you are waiting for your referral, you will send for the free ANA materials.  See:  https://www.anausa.org/contact-us  These materials contain a wealth of accurate information.  Also, if you have not already done so, check out all of the resources on the ANA page. (anausa.org)

Regarding hearing loss with an AN, there is a huge variety of symptoms/scenarios with AN patients.  In my case, I experienced sudden hearing loss.  I woke up one morning feeling like I had been up in an airplane or high altitude in one ear only.  My usual tricks to clear it did nothing so I finally went to an ENT and as they say "the rest is history."

As for your hearing returning, while possible, it most likely will not.  Sometimes following treatment, there is swelling that can temporarily cause additional hearing loss.

Usually bilateral hearing loss is not an indicator of ANs.  Only an MRI (best with contrast) or CT (less accurate) scan can determine whether there is an AN.  Very small ANs can be missed if an MRI with contrast is not done.

As for NF2, typically genetic testing is not done unless a patient has more than one AN or additional tumors on the spine.

Hope that helps.  Many thoughts and prayers.

Clarice
Right MVD for trigeminal neuralgia, 1994, Pittsburgh, PA
Left retrosigmoid 2.6 cm AN removal, February, 2008, Duke U
Tumor regrew to 1.3 cm in February, 2011
Translab AN removal, May, 2011 at HEI, Friedman & Schwartz
Oticon Ponto Pro abutment implant at same time; processor added August, 2011

michellef08

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Re: Sudden Hearing loss & AN
« Reply #2 on: October 01, 2015, 07:42:53 pm »
Hi Sarah,
My hearing loss was sudden as well. I only lost about 10% of my hearing - but I woke up one day and completely noticed that my hearing had diminished and I suddenly had tinnitus. I was only 27 so I knew it couldn't be aging (like most people attribute their hearing loss to). Luckily I went to the ENT immediately and was diagnosed with my AN quickly. I had my tumor removed 4 months after I was diagnosed so luckily my hearing never got worse after the initial drop. I was so scared that it might get worse though, which is why I made my decision so quickly.

Sadly, based on my conversations with multiple neurogsurgeons, once your hearing is lost, it is unlikely it will return. I believe you get tested for NF2 through bloodwork. With your family history, I would probably suggest this to your ENT and try to get tested. Good luck!
~Michelle
« Last Edit: October 01, 2015, 07:44:39 pm by michellef08 »
Diagnosed Dec 2012: AN 1.4 cm with mild hearing loss and tinnitus. Surgery: Middle Fossa at House with Schwartz/Friedman on April 10, 2013. Entire tumor removed, no facial issues, no balance issues, and they preserved my hearing!! Co-leader of the Washington, DC ANA support group since 2016.

PaulW

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Re: Sudden Hearing loss & AN
« Reply #3 on: October 01, 2015, 11:13:25 pm »
I had quite significant sudden hearing loss which then got progressively worse over the next two months.
I decided to have Cyberknife two months after the sudden hearing loss..
I lost more hearing after CK in the first month to the point where it was pretty useless, but gradually my hearing returned to normal..
I have had around 4 bouts of major hearing loss since 3 times I took Steroids, Once I didnt...
Each time my hearing did come back but worse...
5 Years after CK and it has been 2 years since my last episode of sudden hearing loss.
My hearing is better than it was pre CK. I got 4.5 Years of good hearing... however just recently I have started wearing a hearing aid to help with the high frequencies.. Works great in noisy environments to help understand people.

So yes your hearing can come back.. but it doesn't happen for everyone.
There is some research to indicate radiation sooner may assist in hearing retention.

If it means anything I currently have -20db loss @ 250Hz, -20db loss @ 500Hz, -30db Loss @ 1KHz, -50db @2KHz -50 @4KHz
Essentially I have hearing of a 75 year old in my bad ear but I am 51...
think I have done pretty well

NF2... Is often diagnosed before the age of 30.. and is potentially disabling...
So unless your mother had early hearing loss in both ears and the problems started early its very unlikely to be  NF2
 
« Last Edit: October 01, 2015, 11:16:59 pm by PaulW »
10x5x5mm AN
Sudden Partial hearing loss 5/28/10
Diagnosed 7/4/10
CK 7/27/10
2/21/11 Swelling 13x6x7mm
10/16/11 Hearing returned, balance improved. Feel totally back to normal most days
3/1/12 Sudden Hearing loss, steroids, hearing back.
9/16/13 Life is just like before my AN. ALL Good!

michellef08

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Re: Sudden Hearing loss & AN
« Reply #4 on: October 02, 2015, 06:47:29 am »
I take my above statement back then! I was just speaking from my personal experience... but everyone's AN journey is completely different.

Paul - so great that your hearing is now better than before your treatment!
Diagnosed Dec 2012: AN 1.4 cm with mild hearing loss and tinnitus. Surgery: Middle Fossa at House with Schwartz/Friedman on April 10, 2013. Entire tumor removed, no facial issues, no balance issues, and they preserved my hearing!! Co-leader of the Washington, DC ANA support group since 2016.

PaulW

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Re: Sudden Hearing loss & AN
« Reply #5 on: October 02, 2015, 03:00:54 pm »
There are lots of people on watch and wait, who have fluctuations in hearing.
When I did lose my hearing it was quite sudden. Significant loss of hearing within 6-12 hours.
Typically some would start to return after 3-4 days.. About 50% would be back after 10 days, and I would get more back over the next 6 months.
10x5x5mm AN
Sudden Partial hearing loss 5/28/10
Diagnosed 7/4/10
CK 7/27/10
2/21/11 Swelling 13x6x7mm
10/16/11 Hearing returned, balance improved. Feel totally back to normal most days
3/1/12 Sudden Hearing loss, steroids, hearing back.
9/16/13 Life is just like before my AN. ALL Good!

Doc

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Re: Sudden Hearing loss & AN
« Reply #6 on: October 02, 2015, 03:51:34 pm »
I lost my hearing gradually, but when it was gone, bam, it was gone. It went from probably 25% to zero in a flash. I remember the minute it happen. I was in a bar in Tokyo listening to a really bad Karaoke singer when in mid verse, bazinga, no more annoying squealing on the left side. That was in 1996. November I think?

Take Care!

Doc
Left-Translab July '09. Cyberknife Jan 2010. In Apr 2017, four more tumors found; three in the brain and one, 7cm long, on my spinal cord; it was surgically removed. It was cancerous, and so are the others. I've been receiving Chemo since June '18, and I'm still in treatment.

ANGuy

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Re: Sudden Hearing loss & AN
« Reply #7 on: October 02, 2015, 04:55:49 pm »
There are lots of people on watch and wait, who have fluctuations in hearing.
When I did lose my hearing it was quite sudden. Significant loss of hearing within 6-12 hours.
Typically some would start to return after 3-4 days.. About 50% would be back after 10 days, and I would get more back over the next 6 months.

I am WW and have had fluctuations in my hearing.  It has generally been "good enough" with the major loss showing at high and low frequencies and not being noticed by me at all.  What prompted my seeking a diagnoses was a sudden, almost total loss of hearing in my AN ear.  The hearing test backed up what I knew, that my ear was basically turned "off".  About two weeks later, it went back to the "normal" good enough status that it had probably been for years and it has stayed that way, as verified by hearing tests.

According to my Dr, my ABR test indicates that my hearing will in almost all certainly be lost no matter what I do.  Therefore, for me, I am riding it out as long as I can since treatment will probably kill my hearing as soon as I get treated. 
Diagnosed June 2014 1cm AN at 47 years of age.  Had fluctuating symptoms since 2006.    6 mos MRI (Dec 2014) showed no growth, MRI  in July 2015 showed no growth.  MRI Jan 2016 showed no growth.  MRI Aug 2016 showed no growth.  I'm gonna ride the WW train as long as I can.