Best Doctors in India for Acoustic Neuroma Treatment

Profile Highlights:

  • Dr. Sandeep Vaishya is a renowned Neurosurgeon in India, with over 22 years of proficient experience in the field of advanced neurosurgery.
  • He has closely worked with some of the top-notch institutes and hospitals in India.
  • Dr. Vaishya is regarded as one of the top surgeons of Gamma Knife Surgery in South Africa and is also considered a renowned surgeon for brachial plexus injuries.
  • Additionally, Dr. Vaishya specializes in minimally invasive and image-guided neurosurgery, intracranial tumor surgery (including skull base tumors), functional neurosurgery, spinal surgery, and brachial plexus & peripheral nerve surgery.

Profile Highlights:

  • Dr. Aditya Gupta is one of the top Neurosurgeons in India functioning as the Chairperson of the Department of Neurosurgery & CNS Radiosurgery and Co-Chief of Cyberknife Centre at the Artemis Hospitals in Gurugram, India.
  • He is renowned for pioneering advanced surgical techniques in treating various brain tumors, specializing in microsurgery and radiosurgery. His expertise extends to managing Movement Disorders with Deep Brain Stimulation (DBS), epilepsy surgery, nerve and brachial plexus surgeries, as well as treating brain aneurysms and AVMs. He is also highly skilled in spine surgery, having performed a wide range of procedures.
  • Dr. Gupta graduated as a topper from All India Institute of Medical Sciences, New Delhi. He later served as Faculty and Associate Professor of Neurosurgery until 2009.

Profile Highlights:

  • Dr. Rana Patir is one of the most experienced and highly qualified Neurosurgeons in India.
  • He holds an extensive experience of 32+ years as a neurosurgeon and has performed more than 10,000 neurosurgical procedures till date.
  • Dr. Patir is an expert in all kinds of neuro and spine surgeries with a specialization in minimally invasive brain and spine surgery, Epilepsy surgery, pediatric neurosurgery, and neurovascular surgery.

Profile Highlights:

  • Dr. Bipin Walia is one of the most famous neurosurgeons who has performed over 7000 successful neurosurgeries so far.
  • Dr. Bipin Walia specializes in image-guided surgery, disc replacement, and endoscopic disc surgery, including endoscopic cranial surgery. His expertise also includes brain tumor surgery and a special focus on minimally invasive surgery for spinal tumors.
  • He earned his MBBS and MS (General Surgery) degree from Armed Forces Medical College, Pune, followed by which his, M.Ch(Neurosurgery) from All India Institute of Medical Sciences, New Delhi.
  • Dr. Bipin Walia has over 20 years of experience with his outstanding performance earning him quite some rewards and recognition.

Profile Highlights:

  • Dr. V P Singh is a renowned Neurosurgeon with over 30 years of veteran experience. His competence in cranial, spinal, and peripheral nerves has helped him successfully perform 400+ Intracranial Aneurysm surgical procedures.
  • Dr. Singh has also been credited for initiating the Gamma Knife Unit and epilepsy surgery program at All India Institute of Medical Sciences, New Delhi.
  • He is proactively involved in the treatment of arteriovenous malformations by radiosurgery techniques and is currently the chairman of the Institute of Neurosciences, Medanta.

Profile Highlights:

  • Dr. (Prof.) V S Mehta is a leading Neurosurgeon in India and is considered among the best neurosurgeons in the world.
  • He holds an experience of over 38 years in the field and is an expert in Brachial Plexus Surgery, Brain Stem Surgery, Brain Tumour
  • He has been honored with the Padma Shri for his dedication and contributions to neurosurgery and spine surgery in India.
  • In Paras Dr. V S Mehta has been part of the team to first use the Image-Guided Brain Tumor Navigation Technology for Brain tumor surgery in India.

Profile Highlights:

  • Dr. Anil Kumar Kansal is a highly respected and accomplished neurosurgeon with over 29 years of extensive experience in the field of neurosurgery, spine surgery, and robotic surgery.
  • He currently serves as the Principal Director and Head of the Department at Max Healthcare, where he leads the Neurosciences division with a focus on delivering cutting-edge care to patients with complex neurological conditions.
  • He earned his MCh in Neuro Surgery from King George’s Medical College, Lucknow University, in 2001, following an MS in General Surgery from the same prestigious institution in 1997.

Profile Highlights:

  • Dr. Arun Saroha is a renowned Neurosurgeon with extensive experience in the surgical treatment of all kinds of brain and spine disorders.
  • He holds an experience of over 20 years in the field and has performed over 8000 neurosurgeries till date for different types of neuro and spinal diseases.
  • Dr. Saroha is an expert in minimally invasive spine surgery, neuro-onco surgery, trauma surgery and is also among the few neurosurgeons with expertise in Pediatric neurosurgery.
  • His interest lies in brain and spine disorders like degenerative spine disorder, brain tumorsdisc replacements, pediatric neurosurgery surgery for stroke, brain and spine tumor surgery, brain aneurysmsspinal fusion, and decompression surgery.

Profile Highlights:

  • Dr. M. Balamurugan is a well-known neurosurgeon in India with 25 years of experience.
  • Presently, he practices at Apollo Hospital, Greams Road, Apollo Specialty Cancer Hospital, and Apollo Children’s Hospital, Chennai.
  • Owing to his experience, Dr. Balamurugan assists in managing craniosynostosis, epilepsy, extradural hematoma, lumbar disc, lumbar spinal stenosis, metachromatic leukodystrophy,  multiple sclerosis,  peripheral neuropathy, scoliosis, seizures, trigeminal neuralgia, etc. He has expertise in managing brain tumors as well. Patients can consult him for Pediatric Neurosurgery.

Profile Highlights:

  • Dr. Sudhir Dubey is a distinguished neurosurgeon with an illustrious career spanning decades, marked by groundbreaking contributions to the field of neurosurgery.
  • As the Chairman of Neurosurgery at Medanta, Gurugram, Dr. Dubey has performed over 10,000 neurosurgical operations, solidifying his reputation as one of the foremost experts in the field.
  • Dr. Dubey’s academic journey is as impressive as his clinical achievements. He graduated with top honors from King George’s Medical College, where he was awarded the prestigious Sir Rupkishan Das Gold Medal in his final year of MBBS.

Best Hospitals in India for Acoustic Neuroma Treatment

Hospital Highlights:

  • One of India’s best and largest multi-specialty hospitals, Medanta was built with the aim to bring India to the highest standards of medical care. The hospital has been providing the best medical services to its patients, since its inception, with care, commitment, and compassion.
  • Equipped with 1250 beds, the hospital was founded by Dr. Naresh Trehan in the year 2009 with an aim to provide the best medical care at affordable costs. The hospital is spread across 43 acres and includes 45 operation theatres and 350 beds dedicated solely to ICU. The hospital includes over 800 doctors, and more than 22 specialty departments and has a dedicated floor for individual specialty in order to offer the best services under one roof.
  • The hospital is considered one of the premier institutes in India for Cardiac Care and includes staffs and members of high caliber. The hospital has 6 distinct centers of excellence.

Hospital Highlights:

  • Artemis Hospital, established in 2007 in Gurugram, India, is a leading multi-specialty institution known for its excellence in patient care and advanced medical technology, offering comprehensive services across specialties like Cardiology, Oncology, Neurology, Orthopedics etc.
  • Renowned for its patient-focused care, Artemis Hospital combines state-of-the-art infrastructure with a team of internationally trained doctors and surgeons, ensuring the highest standards of medical treatment.
  • Accredited by JCI and NABH, Artemis Hospital meets global healthcare quality and safety standards, reflecting its commitment to providing compassionate, personalized care.
  • The hospital is recognized for utilizing cutting-edge diagnostic and ther*peutic techniques, ensuring patients receive accurate diagnoses and effective treatments tailored to their needs.

Hospital Highlights:

  • The Apollo Proton Cancer Centre in Chennai is the most sought-after private cancer hospital in India. It is an integrated facility that provides cutting-edge, all inclusive cancer treatment to patients all over the globe.
  • The hospital is a part of the renowned Apollo Group which has a large network of over 74 hospitals in India and across the globe. Out of the 74 hospitals, 21 of them are cancer centres. However, Apollo Proton Cancer Centre is the only cancer hospital to have JCI accreditation.
  • The Centre, which was established on the principles of excellence and expertise, unites a formidable medical staff led by some of the most illustrious figures in cancer treatment.
  • The hospital follows the global ASTRO Model Policy. It is the same global policy which is followed by countries like USA, UK, and Europe.
  • Apollo Proton Cancer Centre is among the very few hospitals in India to receive patients from First World countries such as USA, Canada, New Zealand, Australia, Singapore, Thailand, etc.
  • Apart from that, it is also the first hospital in Chennai to receive patients from several countries like Uzbekistan, Kazakhstan, Turkmenistan, Georgia, Armenia, Azerbaijan, SAARC countries (Bangladesh, Nepal, Sri Lanka, Maldives, Bhutan, Afghanistan, and Pakistan), South Africa, Turkey, Egypt, etc.
  • In fact, there is a dedicated team at the Apollo Proton Cancer Centre that serves only international patients. Thus, on a monthly basis, the Centre receives patients from across 32 countries.
  • Moreover, there are certain treatments in Apollo Proton Cancer Centre that are not available in any other centre. APCC addresses all types of possible cancers that are usually not covered by any other centre.

Hospital Highlights:

  • Over the last 33 years, the Fortis Escorts Heart Institute has set new standards in cardiac treatment with groundbreaking research. It is now known around the world as a centre of expertise for Cardiac Bypass Surgery, Interventional Cardiology, Non-invasive Cardiology, Paediatric Cardiology, and Paediatric Cardiac Surgery.
  • The hospital has cutting-edge laboratories that perform a wide range of diagnostic tests in Nuclear Medicine, Radiology, Biochemistry, Haematology, Transfusion Medicine, and Microbiology.
  • Fortis Escorts Heart Institute boasts a diverse group of bright and experienced doctors who are backed up by a team of highly qualified, experienced, and devoted support professionals as well as cutting-edge equipment such as the recently installed Dual CT Scan.
  • Approximately 200 cardiac doctors and 1600 personnel currently collaborate to manage over 14,500 admissions and 7,200 emergency situations each year. The hospital now has a 310-bed infrastructure, as well as five cath labs and a slew of other world-class amenities.

Hospital Highlights:

  • Fortis Memorial Research Institute (FMRI) is a premier multi-super-specialty, quaternary care hospital, known for its exceptional international faculty, top-tier clinicians, super-sub-specialists, and specialized nurses, all supported by cutting-edge technology.
  • It is the flaship hospital of Fortis Healthcare Limited, part of IHH Healthcare Berhad, a leading integrated healthcare services provider in India. As one of the country’s largest healthcare organizations, Fortis operates 28 healthcare facilities with over 4,500 operational beds (including O&M facilities) and more than 400 diagnostic centers (including joint ventures).
  • Recognized as one of the top hospitals in India, FMRI serves as a leading referral center and aspires to be the ‘Mecca of Healthcare’ for India and beyond. Its 11-acre campus is a testament to its commitment to providing world-class healthcare.
  • Accredited by JCI and NABH, FMRI is dedicated to maintaining the highest standards of healthcare quality and safety, ensuring that every patient receives the best possible care. The hospital’s reputation is further enhanced by its state-of-the-art facilities and innovative medical practices.

Hospital Highlights:

  • The Indian Spinal Injuries Center (ISIC), provides state-of-the-art facilities for the management of all types of spinal ailments.
  • Staffed with internationally trained, acclaimed, and dedicated spine surgeons, the hospital provides cutting-edge medical & surgical technology. The hospital provides comprehensive management of spinal injury, back pain, spinal deformities, tumors, osteoporosis, etc.
  • The hospital performs motion-preserving spine surgeries including disc replacement and dynamic fixation, and minimally invasive spine surgeries such as endoscopic disc excision.
  • The orthopedic service of the hospital covers all orthopedic ailments including trauma, joint diseases & replacements, oncology, pediatric orthopedics & upper limb ailment.

Hospital Highlights:

In the sprawling city of Faridabad, where healthcare needs are diverse and ever-evolving, one institution has consistently stood out as a beacon of excellence in the field of medicine—Marengo Asia Hospital. Established with a vision to provide world-class healthcare services to the community it serves, Marengo Asia Hospital has emerged as a trusted name synonymous with quality, compassion, and innovation in healthcare.

Hospital Highlights:

  • Indraprastha Apollo Hospital is a 700-bedded multispecialty hospital in the heart of the capital of India. It is a part of Apollo Hospital group, one of India’s most reputed healthcare chains. Indraprastha Apollo Hospital has been accredited by Joint Commission International, making it the first internationally accredited hospital in the country in 2005.
  • There are 52 specialties in the hospital with one of the best cardiology centers in the country. The hospital is also equipped with State of the art infrastructure facilities with the largest Sleep Lab in Asia and the largest number of ICU bed facilities in India.
  • The latest and highly advanced technologies that are installed in the hospital include Da Vinci Robotic Surgery System, PET-MR, PET-CT, Cobalt-based HDR, Brain Lab Navigation System, Tilting MRI, Portable CT scanner, 3 Tesla MRI, 128 Slice CT scanner, DSA Lab, Endosonography, Hyperbaric Chamber and Fibro scan.

Hospital Highlights:

  • One of the well-regarded providers in India committed to the highest standards of clinical excellence and patient care, Max Super Specialty Hospital is a part of Max Healthcare, which is the second-largest healthcare chain in India. Regarded as one of the most well-regarded healthcare providers in the country, Max Super Specialty Hospital is committed to the highest standards of clinical excellence as well as patient care. The hospital is also equipped with the latest technology as well as cutting-edge research. The hospital is known to deliver and ensure the highest level of patient care.
  • The hospital has more than 500 beds and offers treatment for over 35 specialties. The hospital also holds the credit of having installed the first Brain Suite in Asia. This is a highly advanced Neurosurgical machine that allows MRI to be taken while surgery is ongoing.
  • Other advanced and latest technologies are also installed in the hospital such as the 1.5 Tesla MRI machine, 64 Slice CT Angiography, 4D ECHO, LINAC, and 3.5T MRI machine.

Hospital Highlights:

  • Founded in 2017, the HCG EKO Cancer Centre is a committed, all-inclusive cancer care facility in Kolkata.
  • The hospital was collaboratively established by India’s leading cancer care provider HCG (HealthCare Global Enterprises Ltd.), and EKO Diagnostic Pvt. Ltd., a top diagnostic and imaging chain in Eastern India.
  • With 88 beds, the hospital provides a full spectrum of services including diagnosis, prevention, screening, second opinions, treatment, rehabilitation, follow-up, and palliative care.
  • Additionally, the hospital contains a day-care chemotherapy ward, Neutropenic ward, medical ICU, pharmacy, blood bank, and an IPD wing.
  • At HCG EKO Cancer Centre Kolkata, a large team of cancer experts with experience in medical oncology, surgical oncology, radiation oncology, hemato oncology, BMT, and nuclear medicine collaborate to offer a variety of treatment options under one roof.
  • Furthermore, the hospital is also known for employing the most advanced radiation technology such as, the Radixact, a next-generation TomoTherapy equipment that provides greater radiation delivery precision.

ACOUSTIC NEUROMA

Acoustic neuroma is a noncancerous growth which can develop on the eighth cranial nerve. Also termed as the vestibulocochlear nerve, it is known to connect the inner ear with the brain, and it consists of two different parts. While one part is responsible for the transmission of sound, the other part helps to send balance information from the inner ear to the brain.

Acoustic neuromas, which may also be termed vestibular schwannomas, or neurilemmomas, generally grow slowly over a period of years. They may not actually invade the brain, but they can push on it as they continue to grow. Larger tumors can press on the nearby cranial nerves that control the muscle of facial expression as well as sensation. If the tumors get large enough to press on the brain stem or the cerebellum, then they can be quite deadly.

Symptoms

Signs and symptoms of acoustic neuroma are mostly subtle, and it can take several years to fully develop. They generally arise from the tumor’s effects on the hearing and balance nerves. Pressure caused by the tumor on the adjacent nerves that control the facial muscles and sensation, brain structures, or nearby blood structures can also cause problems.

As the tumor continues to grow, it might be more likely to cause more noticeable or severe signs and symptoms. Some of the common signs and symptoms of an acoustic neuroma can include the following:

  • Hearing loss, which is usually gradual. However, in some cases, it may be sudden. It might also occur on only one side or more pronounced on one side.
  • Ringing in the affected ear which is also termed as tinnitus
  • Facial numbness and very rarely, weakness or loss of muscle movement
  • Unsteadiness, or loss of balance
  • Dizziness, which can also be termed as vertigo

 

In some rare cases, an acoustic neuroma can even grow large enough and compress the brainstem, which may become life-threatening.

If you notice significant hearing loss in one ear, ringing in your ear, or trouble with your balance, then you should consider seeing your doctor soon.

Early diagnosis of an acoustic neuroma might help in keeping the tumor from growing large enough to cause any serious consequences, such as total hearing loss or a life-threatening buildup of fluid within the skull.

Causes

Two types of acoustic neuroma exist: a sporadic form and a form associated with a syndrome which is known as neurofibromatosis type II (NF2). NF2 is an inherited disorder that is characterized by the growth of noncancerous tumors in one’s nervous system. Acoustic neuromas are also known to be the most common of these tumors and they generally occur in both ears by the age of 30.

NF2 is a rare disorder, and it accounts for only around 5 percent of acoustic neuromas. This means the vast majority of the cases are the sporadic form. Doctors are however uncertain what exactly leads to this sporadic form. One of the known risk factors for this condition is exposure to high doses of radiation, especially to one’s head or neck.

Diagnosis

In the early stages, it is generally difficult to diagnose acoustic neuroma, since signs and symptoms might be subtle and can develop over time gradually. Some of the common symptoms include hearing loss, which is associated with several middle and inner ear problems.

After you ask questions about your symptoms, your doctor will be conducting an ear exam. Your doctor might order the following tests.

Hearing test (audiometry)

This test is conducted by a hearing specialist or an audiologist, and you hear sounds that are directed to one ear at a time. The audiologist will be presenting a range of sounds of various tones and is going to ask you to indicate each time you hear the sound. Each tone is going to be repeated at faint levels to find out when you can barely hear. The audiologist might also present several words that will determine your ability to hear.

Imaging

Magnetic resonance imaging or MRI is the preferred imaging test which can confirm the presence of acoustic neuroma and can also detect any tumors which are as small as 1 to 2 millimeters in diameter. If MRI is not available or you are unable to tolerate an MRI scan, a computerized tomography scan (CT scan) may be used. However, this tests might miss tumors that are tiny.
Both of these tests are done on an outpatient basis, which means they won’t require you to stay at a hospital overnight.

Treatment

There are three main courses of treatment which are used for acoustic neuroma:

  • Observation
  • Surgery
  • Radiation therapy

Observation

Observation is also termed as called watchful waiting. Since acoustic neuromas are not cancerous and grow slowly, immediate treatment may not be required always. Often doctors will monitor the tumor with periodic MRI scans and will suggest other treatments if the tumor grows a lot or causes any serious symptoms.

Surgery

Surgery for acoustic neuromas involves removing the entire or part of the tumor.

Three main surgical approaches exist, for the removal of an acoustic neuroma:

Translabyrinthine

Translabyrinthine involves making an incision behind the ear and then removing the bone behind the ear along with some of the middle ear. This procedure is generally used for tumors which are larger than 3 centimeters. The upside of this approach is that it can allow the surgeon to see an important cranial nerve or the facial nerve quite clearly before he/she removes the tumor. The downside to this technique is that it causes permanent hearing loss.

Retrosigmoid/sub-occipital

Retrosigmoid/sub-occipital method involves exposing the back of the tumor by opening the skull near the back of one’s head. This approach can be used in order to remove tumors of any size and it also offers the possibility of preserving one’s hearing ability.

Middle fossa

This technique involves removing a small piece of bone above the ear canal in order to access and remove small tumors which are confined to the internal auditory canal, which is the narrow passageway from the brain to the middle and inner ear. This approach may enable surgeons to preserve the hearing of a patient.

Radiation therapy

Radiation therapy might be recommended in certain cases for acoustic neuromas. Due to state-of-the-art delivery techniques, it is possible to send high doses of radiation to the tumor while at the same time, limiting exposure and damage to any surrounding tissue.

The tumor’s growth might slow or stop or it might even shrink, however, the radiation doesn’t remove the tumor completely.

Complications

An acoustic neuroma can lead to a variety of permanent complications, which can include the following:

  • Hearing loss
  • Ringing in the ear
  • Facial numbness and/.or weakness
  • Difficulties with balance

 

Large tumors may press on your brainstem, which can prevent the normal flow of fluid between the brain and the spinal cord. In this case, fluid may build up in your head, which can increase the pressure inside the skull.

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