What to expect from brain tumour surgery for acoustic neuroma

An acoustic neuroma, also called a vestibular schwannoma, grows near nerves involved in hearing and balance. The surgical approach depends on tumour size, location, symptoms and the aim of treatment. The team may discuss whether preserving hearing is realistic and how facial nerve monitoring will be used during the operation.

After surgery, you may spend time in a recovery area before moving to a ward. Dizziness, nausea, headache, tiredness and changes in hearing or balance can occur while the brain and inner-ear pathways recover. A final laboratory examination of removed tissue helps confirm the diagnosis.

Arrange transport and practical help for the early recovery period. Discuss medicines, fasting, hearing devices and any balance problems before admission. Take short supported walks when advised, protect the wound, and avoid driving until your surgical team confirms that balance, vision and concentration are adequate.

Follow instructions about wound care, bathing, lifting and follow-up scans. Hearing rehabilitation, balance exercises or facial movement support may be offered when needed. Recovery is individual and can continue after discharge.

Seek prompt medical advice for worsening headache, repeated vomiting, fever, increasing wound redness or fluid leakage, new facial weakness, confusion, seizure, marked drowsiness or a sudden deterioration in balance. Emergency help is needed for collapse or difficulty breathing.

Ask which nerves are close to the tumour, what hearing and facial movement outcomes are possible, how balance will be assessed, and who to contact after discharge.