Get a Second Opinion on

Acoustic Neuroma

Acoustic Neuroma (Vestibular Schwannoma) Overview

An acoustic neuroma, also known as a vestibular schwannoma, is a benign (noncancerous) brain tumor that develops on the vestibulocochlear nerve, which carries sound and balance information from the inner ear to the brain.

Although an acoustic neuroma does not spread to other parts of the body and usually grows slowly, it can cause hearing and balance problems when it puts pressure on the vestibulocochlear nerve. This tumor can be life-threatening if it compresses nearby structures, such as the brainstem and cerebellum.

Acoustic Neuroma Symptoms

Symptoms of a vestibular schwannoma may include:

• Hearing loss in one ear
• Ringing in one ear
• Loss of balance
• Dizziness (vertigo)
• Facial numbness, weakness, or paralysis

These symptoms can be associated with other health problems. Diagnostic tests by a medical professional are needed for confirmation.

Acoustic Neuroma Treatment

Treatment for an acoustic neuroma depends on the growth of the tumor, your age, and your overall health. If you are not having symptoms and the tumor is growing slowly, your doctor may choose to monitor it over time with imaging and hearing tests. Radiation therapy or surgery may be recommended to remove the tumor if it is large, causing symptoms, growing quickly, or pressing on your brain.

At Barrow Neurological Institute, we also offer CyberKnife and Gamma Knife radiosurgery. These noninvasive treatments use focused beams of radiation to destroy brain tumors while protecting the surrounding healthy tissue.

Additional Information

How common are acoustic neuromas?

Acoustic neuroma tumors are rare. Studies have shown that these tumors affect about two in every 100,000 people.

Who gets acoustic neuromas?

Most acoustic neuromas are diagnosed between the ages of 30 and 60.

What causes an acoustic neuroma?

Acoustic neuromas have been linked to a genetic disorder called neurofibromatosis type 2, but 95 percent of these tumors occur spontaneously without any evidence of family history.

How are acoustic neuromas diagnosed?

A vestibular schwannoma diagnosis can be difficult to detect early on because symptoms usually develop gradually and can resemble those of other middle and inner ear problems.

The following may be used to diagnose an acoustic neuroma tumor:

• Hearing tests
• Balance tests
• CT or MRI scans

How much does it cost?

The cost for a second opinion from a top neurosurgeon at Barrow Neurological Institute is a flat $100, and it is non-refundable. Payment must be made by credit card at the time of submission. We do not offer other payment options at this time.

How does it work?

1. Once you click the link, you’ll be directed to our Dignity Health hello humankindness secure portal where you will create your account.
2. You will answer an electronic questionnaire to give our physicians an understanding of your medical history and the condition you would like an opinion for.
3. After filling out our questionnaire, we’ll direct you to a secure page where you can upload your MRI and/or CT images.
4. Payment will be requested.
5. Once payment is received, your case will be sent to a coordinator who will review all of your information. The coordinator may contact you for additional information.
6. After the coordinator confirms that all of the information the neurosurgeon will need to review your case has been met, your case will be routed to the neurosurgeon most appropriate for your condition.
7. Within 7 to-10 business days, you’ll receive a notification through email that your second opinion is available in the portal. (Please note that 7-10 business days cannot be guaranteed for submissions during peak U.S. holiday months of November and December.)

You may download, keep, and share your second opinion with whomever you like.

Why should I get a second opinion from Barrow Neurological Institute?

Barrow Neurological Institute is one of the leading neurosurgical teaching hospitals in the world and has been designated as a top neurosurgery hospital by Newsweek. Patients and healthcare providers come from across the globe to receive care and learn from us. We acknowledge that many areas do not have the expertise we do and understand cost can be a large barrier to care. Our Second Opinion Program can help connect you digitally to a top neurosurgeon even if they aren’t any practicing in your immediate area.

Do I need to travel to Barrow Neurological Institute for treatment?

There is no obligation for you to come to Barrow Neurological Institute for treatment, and your second opinion is yours to keep and share.

What if I decide to come to Barrow Neurological Institute for treatment?

If your second opinion recommends neurosurgery and you decide to come to Barrow Neurological Institute for treatment, you will be treated by the neurosurgeon who reviewed your case. If you decide to come to Barrow, simply let our Second Opinion Program coordinators know. Our coordinators will assist you with appointment scheduling, travel resources, insurance verification, and financial concerns.

Can I submit anything I want?

No. There are a few rules:

1. You must have been diagnosed with one of the conditions outlined in the second frequently asked question.
2. Your imaging must be related to your condition, meet requested requirements, and have been taken in the past six months.
3. You must have already been diagnosed by a physician for the condition that has been submitted. We are unable to provide an initial diagnosis of your condition.

All records and information must be submitted in English, as Barrow Neurological Institute cannot translate these materials.

How old do I have to be?

You must be 18 years of age or older to submit your request for a neurosurgical second opinion.

May I submit a case for my child?

You may submit a case for a child as long as the child is 14 years of age or older. We may make some exceptions based on special situations; please email your inquiries to BarrowSecondOpinion@DignityHealth.org.

How long does this process take?

Once you have submitted the required documentation and imaging, your second opinion will be available in 7 to 10 business days. (Please note 7 to 10 business days cannot be guaranteed for submissions from June through August, peak summer months, and submissions during the peak U.S. holiday months of November and December; To ensure that our physicians have the most up-to-date information about your case, Barrow Second Opinion requires that your most recent imaging tests be performed within the last six months. We get it: Imaging scans are inconvenient and sometimes uncomfortable. But the more current your imaging is, the more meaningful your second opinion will be!)

Will you be contacting my doctor?

No. We will not contact your physician. We do recommend, however, that you share the recommendation with your doctor so that they are still involved in your care.

Can my doctor submit my case for me?

Yes. If your doctor submits the case on your behalf, there is no charge. To do this, please provide your doctor’s office with a link to our physician-to-physician Second Opinion portal. We will need to verify your doctor’s identity prior to processing your information.

Is the Second Opinion program covered by my insurance?

Although you may need to contact your insurance carrier for more information, we do not bill insurance companies for participating in our Second Opinion Program. You will be responsible for submitting any requests to your insurance company for reimbursement.

Please note that motor vehicle accident and workman’s compensation cases may not be able to be processed through our Second Opinion Program.

Does this make me a patient at Barrow Neurological Institute?

No. Receiving a neurosurgical second opinion does not make you a patient of Barrow Neurological Institute. In order to become a patient, you must make an appointment and be seen in our offices. If you’ve received a neurosurgical second opinion and would like to be seen at Barrow Neurological Institute, please call us at (602) 406-3396.

Get Your Second Opinion in 4 Steps

Getting a second opinion from one of the best neurosurgeons in the United States is fast, easy, and secure. It’s also affordable: we offer our neurosurgical second opinions for a flat, non-refundable fee of $100 paid upfront.

Here’s how it works:

1. Step 1: Tell us about yourself
   To get started, you’ll need to create an account with your contact information to use our secure Second Opinion Portal. Once your account is set up, we’ll ask you to tell us about your diagnosis, symptoms, and medical history in a brief questionnaire. Please remember, our doctors can only base your second opinion on the information and diagnostic imaging you provide. We’ll protect your personal health information like we would with any Barrow patient. Please note: Your Second Opinion Portal is operated through a Dignity Health hello humankindness account.
   
2. Step 2: Upload your medical images
   After filling out our questionnaire, we’ll direct you to a secure page where you can upload your MRI and/or CT images. Rest assured, we’ll only share these images with our neurosurgeons and clinical staff.
   
3. Step 3: Submit payment
   We require a payment of $100 to process a request. We accept Visa or Mastercard.
   
4. Step 4: Get your second opinion in 7-10 business days (or less)
   After we receive your request, we’ll assign your case to a neurosurgeon who specializes in your diagnosis.

What to Expect from The Barrow Second Opinion Program

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You can expect to receive your second opinion within 7 to 10 business days from the time we receive all required documentation and diagnostic imaging. We’ll contact you if any information is missing. (Please note that 7 to 10 business days cannot be guaranteed for submissions during November and December; peak U.S. holiday months, and the peak summer months of June through August.) Once our neurosurgeon makes a recommendation, we’ll notify you by e-mail that your second opinion is ready. You can log into your account and view the report in a PDF format. 

You’re not obligated to pursue our recommended course of treatment at Barrow or any other institution. However, if our neurosurgeon recommends surgery, we’ll provide their contact information so you can schedule a consultation if you choose.

Finally, our Second Opinion Program is not meant to replace an in-depth, face-to-face consultation with a physician.

I’m Still Unsure or Need More Help

If you have questions during any part of the process, please visit our FAQ page, or contact us at (602) 406-3396 or BarrowSecondOpinion@DignityHealth.org. We look forward to helping you, however we can.