Treatments for Acoustic Neuromas - Dr. Issac Yang | UCLAMDChat

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ความคิดเห็น • 97

  • @billydelaquerra486
    @billydelaquerra486 ปีที่แล้ว +4

    Dr. Yang, thank you for an outstanding presentation. You are the best I have ever come across. I was 28 yrs (1986), when I was diagnosed with an AN, had surgery as it was 6 cm large. This left me permanently deaf in my right ear and facial paralysis. 2018 At 60 yrs, I had another AN of 5cm large, had surgery again. I am now 65 yrs and the AN is 34mm. At this stage, I am having an MRI every 6 months.

  • @harvister1009
    @harvister1009 9 ปีที่แล้ว +10

    In 1998 I was a 23 year old male athlete,no smoking or drinking alcohol and no fast foods that was in great shape(5'10",175lbs 5% body fat) with a 3.8cm acoustic neuroma in my head.Had surgery and everything went wrong with me.Lost my hearing,facial nerve ,had spinal fluid leak 4 times,one of the because of a simple sneeze,so the doctor decided to put a permanent lumbar shunt,but that failed twice.Long story short it took a total of 12 surgeries to fix me up(over 9 months)from cranial plasty,muscle grafts,spinal taps,shunts,gold weight implant for my eye lid,etc.If you have this type of tumor,remember my case is over 17 years ago,today things are much better for anyone with this tumor.I hope I didn't freak anyone out with my story.Best of "luck"for all people that get this type of reality check.A word of advice,find a doctor with a good track record.

    • @ultraspectrum9504
      @ultraspectrum9504 9 ปีที่แล้ว

      I don't think there is any developments yet in the treatments - i have an Acqostic neuroma of 3.5 by 4.3 - my hearing almost gone on one side but my balace and facial nerve not het affected, What do you suggest me? surgery or radiation? or Marijuana oil

    • @johnpuccetti9383
      @johnpuccetti9383 8 ปีที่แล้ว +2

      +harvister100 Cell towers, cell phones, wifi please people wake up we are doing this to ourselves. Smart meters!

    • @summer18ca
      @summer18ca 7 ปีที่แล้ว +1

      please send you MRI to top surgeons for advice. the oil wont help you.

  • @1959Berre
    @1959Berre 3 ปีที่แล้ว +5

    Thank you for this video. I am waiting for the result of the MRI scan that may confirm this type of neuroma. I lost my hearing in the right ear up to minus 60 dB overnight. Initial threatment with cortisone infiltrations had no effect. First I panicked seriously, now I am very anxious about it. The hearing loss and the bad quality of the sound as well as the tinnitus that comes along with it has a severe impact on my live. I wake up in the morning and immediately I feel depressed. Listening to music is very important to. My hobby is the restoration of music equipment, like radio, tuners, amplifiers. That ship has sailed. I am 62 years old. Yesterday and today I cried because I feel completely helpless.

    • @sergiogonzalez638
      @sergiogonzalez638 3 ปีที่แล้ว +2

      Hang in there. You’re not alone. You’re living which is a blessing

  • @JOHNFISHER-h2i
    @JOHNFISHER-h2i 10 หลายเดือนก่อน +1

    Does radiotherapy make it more difficult to have surgery later? I have heard radiotherapy makes the AN more “sticky” to the nerves

  • @annisechetelat9026
    @annisechetelat9026 11 หลายเดือนก่อน +1

    I had endometrial cancer. Have gene error. Also have swarnoma. Been having blurred vision, sharp pains above ear and sticker face.

  • @MOHUT1
    @MOHUT1 6 ปีที่แล้ว +6

    Thank you for offering a clear and easy to follow presentation. I now have a better understanding of acoustic neuroma.

  • @BobStockDJBob
    @BobStockDJBob 11 ปีที่แล้ว +8

    I'm getting my MRI back in two days, everything leads to AN so far, Watching this made me feel better Dr Yang, I'm the kind of person who wants to know everything I can before I have to deal. Thank You for the frank and intelligent look at the options.

  • @yddub111
    @yddub111 2 ปีที่แล้ว +1

    i am learning to live with mine. i dont want surgery and i cannot afford it anyway, and the laser type is even more so.i would sure like my balance back. thanks for the video , though

  • @仔海南大圈
    @仔海南大圈 3 ปีที่แล้ว +1

    I am a patient with acoustic neuroma. When I was 4 centimeters away, there was a remnant, and then it relapsed, then radiotherapy, and now it relapsed, what should I do, I am in China

  • @robertobasilio197
    @robertobasilio197 3 ปีที่แล้ว +2

    Thank you Doctor. Clear class on Acoustic Neuroma! ;)

  • @UCLAHealth
    @UCLAHealth  11 ปีที่แล้ว

    Hi Ayarbrough70, Dr. Yang's response to your question:
    "No I would recommend observation first. If there is any growth then I would recomend Radiosurgery" This suggestion is not in lew of medical advice. He also mentioned that if you are interested in an outsite film review you can email neurosurgeryhelp@mednet.ucla.edu
    Vanessa can help set up a outside film review if they are interested

  • @polirungreang2547
    @polirungreang2547 3 ปีที่แล้ว +1

    Radiation therapy surgery

  • @cozmicknight7704
    @cozmicknight7704 8 ปีที่แล้ว +5

    I'd like to know why none of my doctors I've seen (neurologists and neurosurgeons) don't believe me when I tell them that my schwannoma that was found about a year ago, IS causing me a lot of pain! its been extremely painful, and very difficult to deal with.
    To me, it just seems as though they're minimizing the problem for whatever reason and don't want to get rid of the thing that's causing me a lot of grief!
    The tumor is small at this time according to them. I did have a MRI done, ... with and without contrast, and it measures 9 x 9 mm.
    Wish you could help me in some way, maybe by referring someone.
    Thank you for making this video. It's very informative.

    • @summer18ca
      @summer18ca 7 ปีที่แล้ว +1

      cozmic knight.. did you get answers yet its been 9 months since you posted this.. the tumor is small if it stays small you are very lucky.

    • @cozmicknight7704
      @cozmicknight7704 7 ปีที่แล้ว +1

      Hi, ... I just had another MRI w/and without contrast, and it's a tiny bit bigger now.
      Cyber knife told me that there's a lot of side effects with that, and it's too risky. The brain surgeon wants annual MRI reports.
      I don't know how much bigger it needs to be before they consider removing it.
      Not that I want to have brain surgery. The pain is controlling my life.
      I wish the pain killers worked better.
      Thank you for asking :)

    • @cozmicknight7704
      @cozmicknight7704 7 ปีที่แล้ว

      summer day
      Do you also have a brain tumor? A (Schwannoma.)

    • @summer18ca
      @summer18ca 7 ปีที่แล้ว

      yes

    • @cozmicknight7704
      @cozmicknight7704 7 ปีที่แล้ว

      summer day
      Do you have pain near or at the tumor site?
      It wasn't until last month, my pain management dr. said to another dr. , that he believes the pain increase was in fact due to the schwannoma.

  • @newunderthesun7353
    @newunderthesun7353 11 ปีที่แล้ว +2

    Hello Dr Yang - I am impressed by your speaking ability - that alone makes me want to come from Chicago to be your patient for my AN.
    My question is, you state you will discuss cutting edge treatments but the options for treatment you present are nothing new and are more or less the standard options.
    What makes something 20 to 30 years old cutting edge?

    • @conceptualmedicalscholar2497
      @conceptualmedicalscholar2497 4 ปีที่แล้ว

      th-cam.com/video/LPMTRZtRWwY/w-d-xo.html
      hit this link for acoustic neuroma easily explained

  • @kobenoah1
    @kobenoah1 5 หลายเดือนก่อน

    I wonder which is worse, heart surgery or getting a tumor surgically removed? 🤔

  • @gayleneflower7711
    @gayleneflower7711 6 ปีที่แล้ว +2

    OUTSTANDING presentation Dr Yang. Thank you very informative....My question was how do you know when your tumor grows back?

    • @conceptualmedicalscholar2497
      @conceptualmedicalscholar2497 4 ปีที่แล้ว

      th-cam.com/video/LPMTRZtRWwY/w-d-xo.html
      hit this link for acoustic neuroma easily explained

    • @BoysLikeMeee
      @BoysLikeMeee 3 ปีที่แล้ว

      You don't think about it and just get check ups.

  • @kobenoah1
    @kobenoah1 4 หลายเดือนก่อน

    Does Medicare with a secondary insurance cover the cost of surgery or radiation?

  • @user-qb3xc7kv9o
    @user-qb3xc7kv9o 3 ปีที่แล้ว +1

    Dr. Yang,
    The best presentation. Thank you.

  • @neurologiasegura
    @neurologiasegura 3 ปีที่แล้ว

    And, Dr Yang spent only three minutes for explaining surgical options, I think is very risky to say the surgery is more risky to RS coming from the UCA staff, anyway we thank you for you effort of communication

  • @IronKidsFamily
    @IronKidsFamily 4 ปีที่แล้ว +1

    I am looking for your help to give her treatment

  • @ninamiles1226
    @ninamiles1226 7 ปีที่แล้ว +1

    I am 72 yrs old. I have an acoustic neuroma and it is small. should I have anything done

    • @geod3589
      @geod3589 5 ปีที่แล้ว

      Same here, about same age. I am thinking about doing nothing.

  • @lauraleernbsn
    @lauraleernbsn 11 หลายเดือนก่อน

    Excellent, compassionate and detailed presentation. I really appreciate it as I do my research. I have a couple of questions regarding MCF. Is there a particular question to ask a surgeon on ways to prevent Post surgical Headaches? Do drilling techniques play a role in the Post-surgical headaches, air pockets? I know if one has headaches prior to surgery that makes them more prone to post surgical headaches but in my research and watching actual MCF surgeries on Neurosurgical Focus , etc I see a lot of bone shavings and wonder if that contributes to the Post surgical headaches? just a thought. Thank you

  • @666gajos
    @666gajos ปีที่แล้ว

    Hi , is tumor of 22mm considered as big? And also can gamma knife producer be done twice in 10 years time? Please can someone answer my queation😟 I was diagnosed with acoustic neuroma back in August and has sec scan last week. First time i was told to watch the tumor and see if its growing. On the second scan tumor is exactly the same size but there is a small compression on brain stem which was on the first scan. Doktors told me i need operation and already said ill loose hearing on my left year. They haven't even done the operation, but already know I'll be deaf on left side I have fantastic hearing at this moment and I thought they should do everything to preserve hearing. Please can someone tell me what to do. Im desperate 😪😪😪

  • @bill6656
    @bill6656 5 หลายเดือนก่อน

    Is there a National registry?

  • @CharlesMichaelSidwell
    @CharlesMichaelSidwell 4 ปีที่แล้ว

    Hilarious. The doc, here, says to eat a healthy diet and exercise leading up to surgery. Then he says later in the video that "obviously i like fast food." LOL. Better be careful, doc - you may be the one in the surgery room for open heart surgery if you keep eating the fast food.

  • @Ayarbrough70
    @Ayarbrough70 11 ปีที่แล้ว +1

    Thank you Dr. Yang. Great presentation, it was very informative. My mom has a 6 cms AN removed in October. There is a residual tumor, 0.3 mm. She is 70 years old and the doctor wanted to preserve the facial nerve, quality of life first. Would you recommend Gamma Knife to get rid of the residual?

    • @conceptualmedicalscholar2497
      @conceptualmedicalscholar2497 4 ปีที่แล้ว

      th-cam.com/video/LPMTRZtRWwY/w-d-xo.html
      hit this link for acoustic neuroma easily explained

  • @FourCatLover
    @FourCatLover 9 ปีที่แล้ว +1

    Thank you for this very helpful webinar. It answered many questions.

    • @conceptualmedicalscholar2497
      @conceptualmedicalscholar2497 4 ปีที่แล้ว

      th-cam.com/video/LPMTRZtRWwY/w-d-xo.html
      hit this link for acoustic neuroma easily explained. THIS WILL CLEAR YOUR CONCEPT.

  • @adellaward8311
    @adellaward8311 2 ปีที่แล้ว

    What do you do when doctors dont care like you do..my mom is 88 and she has acoustic noroma and they offered nothing,was it because she only had medicare and madicade,

  • @rljpromotions2207
    @rljpromotions2207 6 ปีที่แล้ว +2

    I would only do the surgery if your VS or AN is life-threatening or you're ADLs are so awful and consistent with the symptoms and outcomes of a risk awareness protocol or surgery gone wrong. Tinnitus, facial droop, eyelid or tear issues, speech impairment, lacking taste, facial tingling, other tongue issues, serious balance issues, ambulation, disturbed gait, otherwise Absolutely NO to the surgery! The healing time is long and painful and those who come out with minimal side effects are calling themselves "lucky." Be aware and observe. Get lucky in Vegas, not in the OR. Live your life and remember to die with it, not from it.

  • @polirungreang2547
    @polirungreang2547 3 ปีที่แล้ว

    Sir I need ur rply how much money it requires to do

  • @paulahavens2764
    @paulahavens2764 3 ปีที่แล้ว

    Can these tumours become malignant?

  • @newunderthesun7353
    @newunderthesun7353 11 ปีที่แล้ว

    Is the linear accelerator you mention the basis for the Novalis system? How does Novalis compare to typical gamma knife?

  • @pilarcobb2369
    @pilarcobb2369 3 ปีที่แล้ว

    Excellent information

  • @jdomi8503
    @jdomi8503 8 ปีที่แล้ว

    How much will this cost

  • @summer18ca
    @summer18ca 4 ปีที่แล้ว

    thankyou.

  • @kantiannambo
    @kantiannambo 9 ปีที่แล้ว

    Can you help me?

  • @shayaneshkp
    @shayaneshkp 6 ปีที่แล้ว

    Hi Sir, I am 32 year old and I would like to know more about this treatment, My AN size around 3CM in my MRI report.. please advise me best option...

    • @sagarthurwal441
      @sagarthurwal441 4 ปีที่แล้ว

      What was your initial symptoms?

    • @kbilalahmad7438
      @kbilalahmad7438 3 ปีที่แล้ว

      What was your initial symptoms and after how long you go for MRI

    • @rahulbajaj7577
      @rahulbajaj7577 2 ปีที่แล้ว

      Bro provide your phone number

    • @rahulbajaj7577
      @rahulbajaj7577 2 ปีที่แล้ว

      I have the same

    • @rahulbajaj7577
      @rahulbajaj7577 2 ปีที่แล้ว

      I will help you

  • @highwireart
    @highwireart 8 ปีที่แล้ว +1

    Thank you for the detail of your presentation. I am an RN with 6 mm x 5 mm Vestibular Schwannoma. Meet with MD soon. You provided information that will help me in understanding my options. From Salt Lake City, Utah.

    • @CharlesMichaelSidwell
      @CharlesMichaelSidwell 4 ปีที่แล้ว

      How did things turn out? With an acoustic neuroma that small, did you have radio surgery for it? If so, how did it go? How are you today?

  • @fireselamkebede655
    @fireselamkebede655 7 ปีที่แล้ว

    I am diagnosed with ANs, i got a lot of interesting ideas from the presentation. am not yet decided to take any action.

    • @summer18ca
      @summer18ca 7 ปีที่แล้ว

      me too.. about 3 weeks ago I dont know where to go for treatment options. I live in a small town there is no one here. can a dr look at my MRI if I send it and give an evaluation/ I would like 2 to 3 opinions from the best surgeons in this field.

    • @dukedilly79
      @dukedilly79 7 ปีที่แล้ว

      summer day do you know the size of your tumor

    • @summer18ca
      @summer18ca 7 ปีที่แล้ว

      17 mm or 1.7 cm I have sent in my MRI to 3 of the top AN drs in the county. the ANA (association) has the list of drs.

    • @dukedilly79
      @dukedilly79 7 ปีที่แล้ว

      summer day I believe mine at the time of discovery was 7.54 mm and that was seven months ago is that considered small

  • @Sumarni_Rakiman
    @Sumarni_Rakiman 4 ปีที่แล้ว

    A lot of good information. Thank you

    • @conceptualmedicalscholar2497
      @conceptualmedicalscholar2497 4 ปีที่แล้ว +1

      th-cam.com/video/LPMTRZtRWwY/w-d-xo.html
      hit this link for acoustic neuroma easily explained

    • @Sumarni_Rakiman
      @Sumarni_Rakiman 4 ปีที่แล้ว

      @@conceptualmedicalscholar2497 thanks!

  • @neurologiasegura
    @neurologiasegura 3 ปีที่แล้ว

    Thanks, Dr Yang spent 20 minutes talking in favor to RS, I don't think is a very equilibrated talk for patients suffering from neurinomas of acoustic, It will be much better to show the three medical options at the same time, even for UCLA staff #NeurologíaSegura team

  • @idstandard
    @idstandard 6 ปีที่แล้ว +1

    What a gift. Dr. Yang thank you. Now I dying (no pun intended) to get an update more recent and will look. UCLA is one for one with me. My "mass" is 2 cm so I need to do my homework as it's a close call.

    • @tenmenz
      @tenmenz 3 ปีที่แล้ว

      Can you provide an update? I hope your well.

  • @Flat5guitar
    @Flat5guitar 9 ปีที่แล้ว +2

    Fix the typo on screen at 0:50. David Geffen School of Medicne??
    If you can't spell "medicine" correctly, I'm not sure I would want you operating on any member of my family.

  • @sarahlotte2x
    @sarahlotte2x 11 ปีที่แล้ว

    thank you a lot, dr. Yang. Concerning my small, but relatively fastgrowing AN + already 48 db hearingloss + tinnitus, I'm considering GK or fragmentated radiation. My AN = 1.5 in total, only 7 mm extracanalicular, march 2013). In april 2010 it was deep intracanalicular. So let's say there's a 9mm growth in 3 years. I have already hearingloss of 48 db. In august 2012: 33 db. My question: can I still preserve my hearing by (fragmentated) radiation or GK (which?). (I donot know it's a cystic AN)

  • @DomnulJohnny
    @DomnulJohnny 7 ปีที่แล้ว +2

    Thank you for the good presentation. If you were to cut the 20 minutes of bragging about how awesome you and your friends are, it would actually become a great presentation.

    • @josephinerotunda263
      @josephinerotunda263 2 ปีที่แล้ว

      Very rude comment! Dr. is very helpful! Don't you want to hear of his background?

    • @billydelaquerra486
      @billydelaquerra486 ปีที่แล้ว

      ciobotaru, you are absolutely disgusting and you should refrain from commenting !!!! No one is interested in your negativity.