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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Acoustic Neuroma

Hi I am 49 years old. I was diagnosed with an acoustic neuroma in September 2014, measuring 2 cm in diameter. I have been for another MRI in March 2015. This is the wording on the results: In the left CP angle there is a contrast enhancing lesion extending from the internal acoustic meatus measuring 16mm x 27mm with clear pressure effect on the adjacent midbrain. The before mentioned is most likely an acoustic neuroma as it originates from the internal acoustic canal. An interesting finding is that there is subtle dural enhancement noted on the coronal view almost in keeping with a dural tail is seen in a meningioma. Please advice
Fri, 5 Jun 2015
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Radiologist 's  Response
Hi
Thanks for writing in.
According to your report, the mass originates in the CP (Cerebello pontine) angle and more than 90% of the masses originating in this region are acoustic neuromas.

However, what is surprising is the finding of a subtle dural enhancement, also called a dural tail sign, which is seen in a meningioma (another type of tumour of the meninges).

It could be either of the two, but in my opinion, it is more likely to be an acoustic neuroma.

I would ask you to not worry a lot about it and plan a surgery to get it excised.

Hope this helps! Please feel free to write back for any more questions that you may have.
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Suggest Treatment For Acoustic Neuroma

Hi Thanks for writing in. According to your report, the mass originates in the CP (Cerebello pontine) angle and more than 90% of the masses originating in this region are acoustic neuromas. However, what is surprising is the finding of a subtle dural enhancement, also called a dural tail sign, which is seen in a meningioma (another type of tumour of the meninges). It could be either of the two, but in my opinion, it is more likely to be an acoustic neuroma. I would ask you to not worry a lot about it and plan a surgery to get it excised. Hope this helps! Please feel free to write back for any more questions that you may have.