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


