Management

  1. Early detection of vestibular schwannomas is associated with better outcome.
  2. The diagnosis is confirmed by a thorough clinical evaluation and specialised testing such as magnetic resonance imaging (MRI).
  3. Vestibular schwannomas are surgically removed when possible. The surgical procedure that is performed is based upon the size and precise location of the tumours.
  4. Radiation therapy may be considered for those who are not candidates for surgery.
  5. Tumour surveillance in carriers for an NF2 mutation, affected individuals and at-risk individuals.

 

Implications for other family members

  1. Testing for the NF2 mutation in asymptomatic family members can identify those who may be at risk of developing tumours and would benefit from regular screening.
  2. If a relative is found not to have inherited the family NF2 mutation then no further screening is necessary.
    The emotional and financial costs can therefore be avoided.