Acoustic neuroma

Also called Vestibular schwannoma

An acoustic neuroma is a non-cancerous (benign) growth on the nerve that carries hearing and balance signals from the inner ear to the brain. It usually grows very slowly. Because it presses on that nerve, the first sign is often hearing loss or ringing in one ear.

Last updated Nov 9, 2026

What it is

Most occur for no known reason. Having neurofibromatosis type 2 makes them more likely, often in both ears.

Small tumours that are not growing are often watched with regular MRI scans. Others may be treated with focused radiotherapy (radiosurgery) or an operation.

Common signs

  • Hearing loss in one ear, usually gradual
  • Ringing or buzzing in one ear (tinnitus)
  • Dizziness or problems with balance
  • Less often, numbness or weakness on one side of the face

How it is usually diagnosed

  • A hearing test (audiogram) showing loss mainly in one ear
  • An MRI scan of the head, which confirms the diagnosis

Records worth keeping

Keeping these together makes each appointment easier, especially when you see a new doctor:

  • Every audiogram, to compare hearing over time
  • MRI reports, with the size of the tumour and the date
  • Letters from ENT, neurosurgery or the radiosurgery team
  • Treatment summaries and follow-up scan schedule

Questions to ask your doctor

  • How large is it, and is it growing?
  • How often will I have MRI scans?
  • What are the options if it grows, and what are the risks to hearing and the face?

When to get help right away

Call 112 or go to the nearest emergency department if you have:

  • A severe headache with vomiting, confusion or drowsiness
  • Sudden loss of hearing in one ear (get seen within 24 hours)
  • Sudden weakness of the face

This page is general information. It is not a diagnosis and does not replace a doctor who knows your history. Medfold keeps your records organised; it does not interpret them.

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