ibelieve2 ~
Hi - and welcome. I'm sorry to learn of your symptoms but glad that you discovered the ANA website and discussion forums.
Jan (
'leapyrtwins') is a good source of information on Chicago area AN doctors and I'm sure her information will be useful to you. Your diagnosed acoustic neuroma is small but if radiation or observation (
watch-and-wait) are, as you state, not an option you're interested in, surgery is your only choice. Endoscopic AN removal surgery is growing in popularity, if not with the neurosurgeon community at least with some AN patients. Unfortunately, to the best of my knowledge, there are no doctors performing the endoscopic procedure on AN patients outside of Dr. Shahinian at Cedars-Sinai in Los Angeles, California (
which you've already researched) and Dr. Jho at Allegheny General Hospital in Pittsburgh, Pa . Here's a link to the
Jho Institute:
http://www.drjho.com/Frankly, only a very few of our members have undergone endoscopic AN surgery so we don't have a wealth of information on it. It is still considered a bit of an outlier by the medical community but it does seem promising, albeit with it's own set of risks. Unfortunately, there is no 'magic bullet' when it comes to AN surgery. Of the 3 standard surgical procedures, all carry risks. Much depends on the size and location of the tumor as well as the surgeon's skill and experience operating on ANs. I underwent a 'debulking' procedure using the
Retrosigmoid approach that included the neurosurgeon severing the tumor's blood supply. This was followed (
3 months later) by 26 FSR 'treatments' intended to destroy the remaining tumor's DNA. They were both successful and I'm doing fine today, almost 5 years later. I trust that whatever approach you ultimately decide on, it will be the right one for
you. Meanwhile, feel free to post any questions or comments and know that we're all AN patients and can relate to your anxiety and concerns because we've all been where you are, today. We empathize with you. and wish you the very best outcome to whatever procedure you chose.
Jim