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dAcoustic neuroma also known as vestibular schwannoma is a rarified benign slowly growing tumor of the vestibular outgrowth of the eighth cranial mettle ( vestibulocochlear boldness ) that arises from the Schwann mobile phone of the peripheral nerve sheath . The vestibulocochlear nerve runs from the inner spike to the brain and is responsible for hearing and proportionality of the organic structure . Acoustic neuroma is mostly seen in 1 out of every 100,000 individuals aged between 30 - 60 years . The incidence of acoustic neuroma is rise with close to 2500 novel cases diagnose per yr . It is also more coarse in char than in serviceman . Although the causal agency of acoustical neuroma is yet strange , anterior exposure to ionize actinotherapy is a potential risk factor along with vulnerability to prolonged loud haphazardness . It is also associated with a transmitted disorder , eccentric 2 neurofibromatosis.(1 )
Is Acoustic Neuroma A Disability?
Acoustic neuroma patients may qualify for disability benefits . Although the Social Security Administration does not specifically list acoustic neuroma in its Blue Book , it mention ‘ commotion of labyrinthine - vestibular office ’ under Section 2.07 of the Blue Book . As per the criteria of Section 2.07 , if a person qualifies after the supply of evidence by a medical practitioner , then he can qualify for Social Security Disability benefit . The Section 2.07 standard that need to be meet let in a folie of the labyrinthine - vestibular function that is characterized by a history of frequent balance disturbance , tinnitus , and reformist hearing deprivation ; crazy map of the vestibular labyrinth that is evidenced by caloric or other vestibular tests ; and the hearing expiration is detected by audiometry.(2 )
If the above mentioned Blue Book criterion can not be met by a soul then that person needs to try that their stipulation prevent them from performing any type of paid activity by using SSA ’s Residual Functional Capacity form . Based on a vocational allowance , the app may be take if it is proved a someone is unable to do their work activities . Extensive medical grounds will have to be provided that a person will be ineffectual to hold out their work for a period of 12 calendar month . Since the summons of social surety disability call can be very complex , it is best to have an attorney who help oneself in the entire process of filing the app and helping in claim the disability benefits.(2 )
Presenting Symptoms Of Acoustic Neuroma
acoustical neuroma may be asymptomatic in a few patients , especially those with the belittled size of the tumor . However , even diminished tumor can present with symptoms depend on the locating of the tumor along the nerve . The symptom of acoustical neuroma may occur due to compaction of the vestibulocochlear heart and its impairment to transmit nerve signal to the brain or compression of the adjoining structures such as the nerves or the brainstem.(1 )
The most common presenting symptom that is present in approximately 90 % of all patients is one-sided hearing loss , except in case 2 von Recklinghausen’s disease patients in whom the hearing loss is bilateral . The hearing loss is mostly reformist ; however , in some typeface , it may even be sudden or fluctuant . The 2nd most vernacular presenting symptom is tinnitus ( resound in ears ) or a feeling of richness of the moved capitulum . In some patients , speech favouritism may also be reduced . acoustical neuroma may also be associate with vertigo and balancing problems such as unsteadiness . Other rarified symptoms include facial numbness , prickling , failing , palsy , and trouble swallow when other cranial boldness are compressed . acoustical neuroma may also lead to hydrocephalus that may cause headache , ataxia ( inability to organize voluntary campaign ) and genial confusion . On very rare occasions , an untreated large acoustic neuroma may lead to life - threaten complications.(1 )
The diagnosing of acoustical neuroma is based on clinical evaluation , patient chronicle , specialized tests include get a line tests , contrast - enhancedMRI , CT scan , electronystagmography and brain stem auditory evoked response ( BAER ) . However , contrast - enhanced MRI is the most sensitive method acting for the confirmatory diagnosing of acoustic neuroma.(1 )
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