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What is Vestibular Schwannoma?

A noncancerous tumour called a Vestibular Schwannoma forms on the central nerve that connects the inner ear to the brain. The vestibular nerve is the name of this nerve. The nerve's branches directly impact hearing and balance. Hearing loss, ear ringing, and balance issues can all be symptoms of pressure from a Vestibular Schwannoma. The Schwann cells that cover the vestibular nerve give rise to an auditory neuroma. Vestibular Schwannomas often grow slowly. It could spread rapidly on rare occasions and get big enough to put pressure on the brain and interfere with essential processes.

What is the Importance of Timely Treatment?

Timely treatment is important because Vestibular Schwannomas can exacerbate hearing loss and balance function even if they are not growing. Untreated Vestibular Schwannomas can result in a potentially fatal accumulation of fluid in the brain or in the compression of the brain stem and cerebellum.

What are the symptoms of Vestibular Schwannoma?

Vestibular Schwannoma symptoms can take years to manifest and are frequently overlooked. The tumour's impact on the hearing and balance nerves may result in symptoms. Additionally, the tumour may exert pressure on the facial nerve, which controls facial muscles, and the trigeminal nerve, which controls sensation. Vestibular Schwannomas can impact brain structures or blood vessels. The likelihood of more obvious or severe symptoms may increase as the tumour grows.

The following are typical signs of a Vestibular Schwannoma:

  • Loss of hearing typically occurs gradually over months to years. Rarely, hearing loss may occur suddenly. Usually, one side experiences hearing loss, or it is more severe on one side
  • Tinnitus in the afflicted ear (ringing in the ear)
  • Loss of equilibrium or unsteadiness
  • Lightheadedness
  • Numbness in the face and, in rare cases, loss of muscle mobility or paralysis.

Causes and Risk Factors of Tethered Vestibular Schwannoma

Causes

The primary aetiology of tethered vestibular schwannoma is NF2 gene mutations, which lead to tumours that can stick to surrounding tissues. Patterns of tumour growth, previous surgery or radiation therapy, and the development of scar tissue that binds the tumour to surrounding structures can also lead to it.

Risk Factors

Having a parent with neurofibromatosis type 2, a rare genetic condition, is the sole known risk factor for auditory neuromas. However, only around 5% of occurrences of auditory neuromas are caused by neurofibromatosis type 2.

Permanent side effects from an auditory neuroma could include:

  • Loss of hearing
  • Weakness and numbness in the face
  • Balance issues
  • Ear ringing
  • Sometimes, the passage of cerebrospinal fluid between the brain and spinal cord is blocked by large tumours pressing on the brainstem. Hydrocephalus is the accumulation of fluid in the brain. The pressure inside the skull rises as a result.

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Latest Research and Technologies in the Treatment of Vestibular Schwannoma in the United Arab Emirates

Current advancements in vestibular schwannoma (VS) therapy in the United Arab Emirates (UAE) illustrate a commitment to integrating leading-edge technology and multidisciplinary approaches. To access and appropriately excise VS, surgical techniques such as the middle fossa and retrosigmoid approaches are applied, with a view to sparing hearing and neurological function if possible. Stereotactic radiosurgery (SRS), delivering a concentrated dose of radiation to slow the growth of tumours without causing significant damage to surrounding tissues, is a non-surgical option when surgery is impossible.

Vestibular Schwannoma Prevention Tips

There are no proven preventative methods for vestibular schwannomas because the actual cause is unknown. Still, early detection through routine doctor's visits is essential, particularly if you have a family history of neurofibromatosis type 2.

Treatment options for Vestibular Schwannoma

Gamma Knife Radiosurgery: One non-invasive treatment option for vestibular schwannomas (also called Vestibular Schwannomas) is Gamma Knife radiosurgery, which is considered a first-line treatment for many patients with vestibular schwannomas. It is especially effective for small to medium-sized tumours and aims to stop tumour growth by delivering a focused dose of radiation without requiring a surgical incision. This procedure often preserves hearing function while managing symptoms like dizziness and hearing loss associated with the tumour.


Cost Start From USD 6828 - USD 13657Explore Options

Microsurgery: Neurosurgeons can do surgery on extremely small body parts thanks to specialised tools. Vestibular Schwannomas can only be removed with this procedure.

Chemotherapy: In rare instances, medical professionals may prescribe bevacizumab (Alymsys, Avastin, MVASI, Zirabeva). Children with Vestibular Schwannomas may be able to hear for longer thanks to this medication's potential to decrease tumours. The medication is also used to treat radiation necrosis, a side effect of radiation therapy.


Cost Start From USD 800 - USD 6000Explore Options

Vestibular Rehabilitation Therapy: Parts of the nerves that regulate balance may occasionally be removed during surgery. Therapy called vestibular rehabilitation helps you make up for the loss of those nerves and the functions they control.

  • Audiometry: A test of hearing. An audiologist, a specialist in hearing, performs this exam. One ear at a time is exposed to noises during the test. A variety of sounds with different tones are presented by the audiologist. Every time you hear the sound, you indicate. To determine whether a tone is scarcely audible, it is repeated at progressively lower levels. To test THE patient’s hearing, the audiologist could also show you different words.
  • MRI: To diagnose vestibular schwannoma, magnetic resonance imaging with contrast dye is typically utilized. Tumours as tiny as 1 to 2 millimetres in diameter can be found using this imaging examination. Computerised tomography (CT) can be utilised if MRI is unavailable.

MediRehab (chain of Rehab centres - Part of MediGence) provides comprehensive rehabilitation services to support patients through Teleconsultations and online therapy sessions.

  • Personalised Therapy Plans: A specialised type of treatment called vestibular rehabilitation (VR) aims to address the fundamental and secondary issues caused by vestibular diseases. The main goals of this exercise-based program are to lessen vertigo and dizziness, gaze instability, imbalance, and fall risk, as well as to address any secondary impairments brought on by vestibular disorders.
  • Rehabilitation post-surgery: physiotherapy sessions focused on restoring hearing and balance function
  • Nutrition Guidance: Consuming lean meats, avoiding red meat, and only eating chicken after the skin has been removed are all recommended for those with vestibular disorders. When it comes to milk kinds, people with vestibular disorders should go for skim milk because it is better for their health.
  • Depending on the circumstances, your doctor might recommend medication to help manage your symptoms and complement the course of treatment.

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Hospitals for Vestibular Schwannoma in United Arab Emirates

Burjeel Hospital, Abu Dhabi: Top Doctors, and Reviews
Burjeel Hospital, Abu Dhabi

Abu Dhabi, United Arab Emirates

Burjeel Hospital, Abu Dhabi located in Abu Dhabi, United Arab Emirates is accredited by JCI. Also listed below are some of the most prominent infrastructural details:

  • 209 bed capacity 14-beds in the Intensive Care Unit
  • 64 Slice CT, High End MRI, Neuro-navigation Surgical Systems
  • 3.0 Tesla MRI
  • Neuro-physiology
  • Specialized physiotherapy
  • Well managed rehabilitation services
  • 10 operating theatres
  • Royal Suites and Presidential Suites available
  • It comprises the most advanced treatment related equipment.
  • It is adorned with cutting edge diagnostic equipment.
  • Personal attention is given and there is an empathetic approach to healing, the hospital terms it the 'art of healing'.
  • Customised services are provided to International patients.
  • Centers of excellence
    • Cardiology
    • Pediatrics
    • Ophthalmology
    • Oncology
    • IVF
    • Gynecology & obstetrics
    • Orthopedics & sports medicine
    • Shoulder and upper limb unit
    • Burjeel vascular centre
    • Bariatric & metabolic surgery
Kings College Hospital Dubai: Top Doctors, and Reviews
Kings College Hospital Dubai

Dubai, United Arab Emirates

Apart from in-detail treatment procedures available, Kings College Hospital Dubai located in Dubai, United Arab Emirates has a wide variety of facilities available for International Patients. Some of the facilities which are provided by them are Accommodation, Airport Transfer, Choice of Meals, Interpreter, SIM, TV inside room. Also listed below are some of the most prominent infrastructural details:

  • 100 beds in the Hospital
  • Operation Theatres
  • Special Intensive Care Units
  • 24*7 Emergency Department
  • Covid-19 Treatment Clinic
  • Wound & Stoma care center
  • Doctor on call (Telemedicine) is also available
NMC Royal Hospital, Khalifa City: Top Doctors, and Reviews
NMC Royal Hospital, Khalifa City

Abu Dhabi, United Arab Emirates

NMC Royal Hospital, Khalifa City located in Abu Dhabi, United Arab Emirates is accredited by JCI. Also listed below are some of the most prominent infrastructural details:

  • Capacity for 500 beds
  • 53 Critical Care beds
  • 24-hour Emergency Services
  • 24-hour Ambulance Service
  • OPD (Outpatient department treatment)
  • An Automated Laboratory
  • The Hospital has the first hybrid Operating Theatre with flex move system
  • First NICU and PICU Combination set up

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Why Choose the United Arab Emirates for Vestibular Schwannoma Treatment?

Here are some of the reasons for choosing the United Arab Emirates:

  • Due to advancements in medical facilities, such as minimally invasive surgical techniques and gamma knife radiotherapy procedures.
  • World-class experts include highly experienced doctors and JCI-accredited healthcare institutions.
  • Compared to other countries, treatment in United Arab Emirates hospitals is cost-effective.
  • United Arab Emirates hospitals provide international patient services, including a multilingual support system.
  • Improved treatment methods and biological therapies.

Frequently Asked Questions

Acoustic neuromas or vestibular schwannomas are rarely life-threatening. Patients are expected to have a relatively normal life span when treated effectively.

The nation's healthcare institutions offer top-notch treatment alternatives, guaranteeing successful outcomes for many patients. Vestibular Schwannoma is effectively treated in the UAE. Hearing loss that has already occurred from the tumour cannot be reversed, but the remaining hearing can be preserved in some cases. Surgical tumour removal and gamma knife radiotherapy can often address balance problems, facial numbness and other symptoms.

Yes, many United Arab Emirates hospitals offer the following for Vestibular Schwannoma treatment:

  • Advanced diagnostic tools like MRI, CT scan, electromyography, and PET scan for accurate diagnoses of Vestibular Schwannoma.
  • Skilled neurologists, surgeons, and therapists perform surgery and use Gamma Knife radiotherapy to treat Vestibular Schwannoma.
  • Comprehensive post-surgery care and rehabilitation for long-term health benefit

Always consider the following factors when selecting United Arab Emirates hospitals:

  • Hospitals that are accredited (authorised by JCI).
  • Patient reviews and success rates.
  • Hospitals that provide seamless care to patients from abroad.

Considering that auditory neuromas are benign, patients often have a very high survival rate. People can have a normal life expectancy with proper medical treatment and continuous monitoring.

However, chronic, long-lasting symptoms like unsteadiness, dizziness, or spatial disorientation develop in half of all individuals with the illness. A person may suffer irreversible inner ear damage or hearing loss in severe situations.

Treatment options for Vestibular Schwannoma differ based on variables such as:

  • The location and size of the tumour
  • How hearing and balance are affected by the tumour
  • General health and age