Acoustic Neuroma

Under the direction of neurosurgeon Keith L. Black, MD and neuro-otologist Rick Friedman, MD, Medical Director of Cedars-Sinai's Cranial Base Surgery Program, experts of the Acoustic Neuroma Program diagnose and treat acoustic neuromas (also called neurolemmomas or schwannomas). They use the latest technology to perform the most effective surgical or radiosurgical procedures with the goal of saving each patient's facial nerve function and, if possible, his or her hearing. This multidisciplinary team, consisting of neurosurgeons, neuro-otologists and specialists in stereotactic radiosurgery, provide the opportunity for experts from a variety of specialties to consult on the optimal course of treatment.

A Multidisciplinary Team of Experts

The complexity of intracranial conditions requires a highly interactive, multidisciplinary team approach. Drawing on the expertise of renowned specialists, the Acoustic Neuroma Program's team of neurosurgeons, radiosurgery experts, neuro-otologists and otolaryngologists offers unrivalled experience in treating acoustic neuromas. Patients also have access to psychologists and social workers to help ease the emotional impact of their diagnosis and treatment.

Tumor Board Ensures Optimal Surgical and Clinical Management

The Department of Neurosurgery's Tumor Board convenes weekly, allowing program physicians to consult with a broad range of specialists. This multidisciplinary effort helps ensure that patients with acoustic neuromas receive the latest and most effective treatments currently available.

Advance Radiosurgery Options

Cedars Sinai Medical Center is a nationwide leader in the development and use of radiosurgical technologies. Patients of the Acoustic Neuroma Program have access to a full range of radiosurgical options. The program's specialists use advanced planning software to integrate multiple imaging systems to aid planning for radiation treatment. The mini-multileaf collimator (MMLC) precisely delivers an exact dose of radiation to the tumor while leaving normal tissue, such as cranial nerves and brain stem, unharmed. This precision reduces side effects and provides the highest possible changes of saving hearing and cranial nerve functions that control facial movement and sensation.

Additionally, Gamma Knife® technology is now available at Cedars-Sinai. This specialized piece of equipment can send intense doses of radiation to targeted areas, while largely sparing the surrounding tissues. The gamma knife is extremely beneficial for lesions located in close proximity to critical structures.

Sophisticated Technology for More Accurate Surgery

Neurosurgeons of the Acoustic Neuroma Program routinely use one of the most advanced operating suites in the world. The suite is equipped with state-of-the-art navigational microscopes, computerized navigational systems, an intraoperative MRI scanner and the latest optical technologies.

Outside Scan Review

The expertise of the neurosurgeons and neuro-oncologists of the Department of Neurosurgery is available to any physician or patient who wants to send brain images to the Outside Scan Review Program. This consultative service is offered to provide advice to primary physicians and patients to help guide treatment for patients with brain tumors.

Support Staff Ensures Continuity of Care

In addition to a team of exceptional physicians, the Department of Neurosurgery has assembled a highly trained and dedicated support staff to assist with providing the highest quality care for acoustic neuroma patients. Nurse practitioners and physician assistants provide a crucial, continuous personal link between specialists and patients throughout the course of treatment and follow-up care. Their efforts ensure smooth communication and optimal treatment outcomes.

For an appointment, a second opinion or more information, please call 1-800-CEDARS-1 (1-800-233-2771) or email us at mdnsi@cshs.org.