ANA Discussion Forum

Pre-Treatment Options => Pre-Treatment Options => Topic started by: april428 on November 15, 2008, 09:03:02 pm

Title: And it's "not hereditary" ??
Post by: april428 on November 15, 2008, 09:03:02 pm
Hi everyone--

This is my very first posting because I just found the forum.. I wish I'd have found sooner... this seems to be a really wonderful place or support and information!

I am 29 years old and I went to see an ENT in July for my slight hearing loss in my right year. I gave my history, which is that my mother, at the age of 54, five years ago, was diagnosed with 14mm AN on her right side and had suboccipital retrosigmoid approach at Johns Hopkins. Today she has very slight facial weakness, no hearing in her right ear, and no tears in her right eye (although the moisture is enough that does not need drops). Well, my very thorough ENT ordered an MRI to rule out the AN and a few days later I was called back and informed I did in fact have an AN.... 26mm x 27mm x 28mm.. it is pressing against my brain stem and I should have it removed by the end of the year.

I met with one doctor here in Charlotte who said my chances of getting the same post op results as my mother were best case scenerio and that more likely I would have mild to severe facial paralysis. Yikes! Not what this gal was excited to hear. So I did some research and was lead to the Carolina Ear and Hearing Institute in Raleigh-- because they'd done their training at the House Ear Institute. I had my consult in August and Dr Cunningham feels good about the results he can get using the translab approach.... I am still dealing with the though of the full hearing loss-- because right now, my hearing loss is not that significant.

So.... what I was really looking for was some words of encouragement. I have an awesome husband who is doing his best to encourage me through the roller coaster of emotions. I know it's pretty safe as far as surgeries go, but I always drawn back to the silly "what-if's". I have a daughter and son, seven and almost five years old respectively. I am scared about the procedure from time to time, scared about the recovery, unnerved by the unknowns. Okay, this sounds a bit more down-trodden than I was going for, and to be honest, most time I do quite well with the impending surgery.... schedule for December 18th up in Raleigh. Great timing right? :)

Well, thank to all for listening. I appreciate the forum! :) And has anyone else know of this happening in families?? My doctors were not nearly as interested in the mother-daughter link as  I thought they should be.

~April
Title: Re: And it's "not hereditary" ??
Post by: leapyrtwins on November 15, 2008, 09:13:02 pm
April -

I'm glad you found us; you'll find lots of encouragement and support here.

While not unheard of, ANs are typically not hereditary.  I think Lori's dad had one and I'm sure there are others, but generally it's not a "family thing".  I come from a big family (my dad is one of 14 and I am one of 5) but so far I'm the only "lucky" one  ;)

Although all AN patients have a chance of facial nerve damage from surgery, some encounter this side-effect and some don't.  Doctors do their best, but none of them can guarantee anything 100%.  As for SSD, lots of patients adjust to it - others don't.  For those who don't there are options like the TransEar and the BAHA (my choice).

Best of luck with your surgery. 

Jan

Title: Re: And it's "not hereditary" ??
Post by: QRM on November 15, 2008, 09:39:56 pm
Hi April

I just found out the other day as well, so we are in the same boat, or in this case same roller coaster,  I see you have already have made the decision and booked your operation, good for you.  The first step is always the hardest.

I have been scoring the net to try and find the magic bullet , but have come to the conclusion the outcome of the operation, assuming you have good surgeons, is all down to fate, bit like asking a car salemans what are the chances of walking away after a crash. All depends on the day.

We are getting into a car and driving into a concrete wall at 40 mph, have to accept that we might not feel to good after the impact,  my logic is prepare for the worse and hope for the best, who knows you and a lot of people do just open the door and step out of the wreckage for a second chance at life.

I too have a young daughter, and althoough I am a guy I have been looking after her from day one, my wife works which is a blessing in many ways as the added burden of the bread winner suffering this would make life even more difficult, I am glad its me that has the AN not my wife or daughter.

All the best, you are not alone.

Title: Re: And it's "not hereditary" ??
Post by: MAlegant on November 15, 2008, 10:24:22 pm
April and QRM,
Most of us do come out just fine with various sets of issues; some temporary, some not so much, and many with no problems at all.  I came out well, dealing with side effects, but I do have a life to lead.  You will learn things about yourself you never knew.  And it will mostly be good.
Take care,
Marci
Title: Re: And it's "not hereditary" ??
Post by: NL on November 16, 2008, 01:38:20 am
Hi April,

Welcome to the forum. You're right that this is a fantastic place for both support and information.

I, like Donnalynn, decided to have surgery with Drs. Friedman and Schwartz at House Ear Institute. Since I still had great hearing on the AN side (and the location of my tumor), I chose to go with a retrosigmoid approach in hopes of saving my hearing.  I did lose hearing on the AN side, but it hasn't been a huge issue for me. Post-op fatigue and the hearing loss were the only issues I had to deal with.

Reading everyone's experiences on the forum (both physical and emotional) was a great help to me, as I'm sure they'll be to you.  You'll see that the emotions you're experiencing are completely normal for someone in our "unique" situation.

Wishing you all the best,

Nancy

Title: Re: And it's "not hereditary" ??
Post by: april428 on November 16, 2008, 09:00:20 am
Thank you so much for the words of encouragement. I do think-- even though it is so close to surgery time-- I will send my MRI to the House Ear Institute for a phone consult. Back in August I contemplated it but because of the distance and coordination that needed to be done if I went out to CA, I brushed it off. Thinking now, there is no harm in a third opinion. :)

I'll probably be reading my way around this place for a while.... some people's humor is just what I need to put everything in perspective, and sometimes it's the knowledge that everything will work out, the way it's suppose to. Thank you to everyone :)

~April
Title: Re: And it's "not hereditary" ??
Post by: lori67 on November 16, 2008, 11:20:24 am
Hi April.

Jan is right (again!) - my dad also had an AN - his was small and since he also had Alzheimer's, he never had any treatment for it. His only symptom was hearing loss in one ear, which we had always attributed to age until his AN was discovered quite by accident.

And then I was diagnosed.  My doctor assures me it's not hereditary either, but I have my doubts.  I wouldn't be surprised to find out down the road that they find some hereditary factor, but I just believe that right now, they haven't found that link yet.  When they do, you and I can say - "See, we told you!"

Everything will work out.  I have little ones at home too, and they seem to be the best motivation to get better.

QRM - welcome to you too.  You're right in saying it's like driving into a concrete wall - but don't worry -  you have seat belts and air bags, so I believe we all are able to open the door and walk out - maybe a little off balance, but that's okay.  The important thing is to walk out and get on with things.

Good luck to both of you!
Lori
Title: Re: And it's "not hereditary" ??
Post by: mimoore on November 16, 2008, 11:27:03 am
Hi April and QRM,
Welcome you are not alone. I spend lots of time seaching threads here. Lots of great information. Did your mother have NF2?
We are here for you ask lots of questions.
Michelle  ;D
Title: Re: And it's "not hereditary" ??
Post by: april428 on November 16, 2008, 05:17:26 pm
Hey Michelle---

Nope, my Mom did not have NF2.... my doc asked the same question. I read somewhere the overgrowth of these schwann cells had to do with some protein imbalance. Maybe that'll be the key afterall. Who knows?

I know I feel bit better knowing exactly what it's like to go through this, as I was my Mom's constant caregiver during recovery, but then at the same time, and as dedicated as I was to her, it still wasn't me going through it, so it was a lot easier to keep cheering her on through the down points. I wonder if I can be that much of a cheerleader for myself? I have a feeling I may surprise myself :)

~April
Title: Re: And it's "not hereditary" ??
Post by: mimoore on November 16, 2008, 07:42:42 pm
April you will be stronger than you think. There may be times when you will need to dig deep but surround yourself with positive energy and don't let negative feelings bring you down. You have a very good idea of what to expect as far as recovery goes. No one knows for sure what ones out come will be. We hope for the best and prepare for the worst. Love will see you through.
We are here for you and like your mother we understand.
Hugs Michelle  ;D
Title: Re: And it's "not hereditary" ??
Post by: Kaybo on November 16, 2008, 08:41:52 pm
April~
I don't know why I didn't get this sooner but a belated WELCOME.  I was 25 when I had surgery for my AN.  I guess that most would say that I had a lot of "after-effects" of the surgery, but you forge ahead and do what you have to do.  Lori is correct in saying that the kids really get you going - I didn't have my own yet when I had surgery but I taught 1st grade and those were like MY kids.  I was VERY anxious to start a family of my own so that too was incentive to get better!  I now have 3 beautiful daughters and a WONDERFUL, VERY full life - I always had a SUPER hubby!  Check out my blog (address below)!

K   ;D
Title: Re: And it's "not hereditary" ??
Post by: Debbi on November 17, 2008, 09:19:42 am
Hi April-

I'm  coming in a little late but wanted to say welcome anyway.  I wouldn't be surprised if they do someday find a genetic link with acoustic neuromas, just as they have with some cancers. 

In some ways you are more prepared than many of us were since you nursed your own mom back to health after her AN surgery.  And, this may sound like a strange thing to say, but I still think that my husband had the hardest job when I had surgery.  He was the one who had to worry and not be able to do anything, to see me laying there with tubes hanging out and a big turban on my head, he who felt the impotence of not being able to make it all go away.  My job was really pretty easy.  I went to sleep, woke up laid around for several days in a drug-induced haze and then went home and laid around some more... ;D

I know, I'm making this sound easier than it was - but I really do think it is sometimes harder for the caregiver than it is for the patient. 

Like you, my hearing pre surgery was pretty good, but translab gave me the best shot at saving my facial nerve so I opted for SSD with a better facial outcome.  I did have some paralysis, but have improved a lot.  You can look at my recent thread under AN Community - Debbi's Facial Progress for pictures if this is something that worries you.

Glad you found us, and hope you are having some peaceful moments.

Debbi
Title: Re: And it's "not hereditary" ??
Post by: Jim Scott on November 17, 2008, 01:39:16 pm
Hi, April:

Our ad hoc welcoming committee has done a bang-up job, as usual, so all I can say at this point is welcome and God bless.  :)

I suspect you'll be posting more and perhaps then I'll have the opportunity to respond with something a bit more substantial. Meanwhile, please try to remain strong.

Jim
Title: Re: And it's "not hereditary" ??
Post by: suboo73 on November 18, 2008, 05:51:45 am
April,   I am a newbie, too, diagnosed this Sept. and doing my research now, while 'watching and waiting.'  But i have to tell you that i am FOREVER grateful to my older sister, diagnosed 6 months ago.  She gave me the courage to seek other opinions, and learn all i could about all treatment options.  (I was scared to do this after helping with caregiving for my younger sister and three hip-replacement surgeries.)  Some days, i feel like i am on a merry-go-round, and no one will stop the darn thing!

You can imagine that both my sister and i have asked the hereditary question. 
But there seems to be no clear answer on this at the moment - so i will be curious to follow this in the coming years as well.

I really appreciate all the postings, replies and information on this forum.
These people are fantastic!

I wish you strength in your journey.

Sincerely,
Suboo

Title: Re: And it's "not hereditary" ??
Post by: LisaP on November 18, 2008, 06:26:01 am
Hi April,

Welcome to the Forum,

I too am I newbie, dx in March of 08, I'm on the "Watch and Wait",  I go back to Boston in Jan of 09 for my 3rd MRI.  You will find a lot of support at this forum,  we are all here for you.

I lost my brother back in October to a Glioblatoma Multiform Grade 4 brain tumor, he was only 49.  The doctors in Boston say there is no connection between my brothers tumor and mine.  I'm 46.

I disagree, I know that they are different kinds and mine is not CA but siblings having brain tumors at the same time????

Keep in touch and best of luck to you and your family,

LisaP :)
Title: Re: And it's "not hereditary" ??
Post by: ppearl214 on November 18, 2008, 07:02:45 am
*blows LisaP kiss*  :-*


Hi April and welcome. Ah, the Welcome Wagon committee has been on good behavior and proper welcomes, I see. Glad to have you here to help you during this "journey" that we didn't sign up to endure.

I, unfortunately, am in the same boat as LisaP.  Like Lisa, I lost a sister (many  years ago) to malignant childhood astrocytoma and like you, question the relationship of close family members endure tumors as such. I did quiz my docs about doing genetic testing, even though my AN is different in nature to my sister's situation. Honestly, I only know of NF2 (bilateral) as being heriditary (has to do with chromosome 22) but for unilateral AN's to be heridary, I, personally, have not seen info as such. Suggestion would be to inquire to the ANA to see if they have any info on it or try an online search to see if anything is noted.

We're here to help... the support is great... the drinks are watered down...  but, we're here to help.

Again, welcome!
Phyl

Hi April,

Welcome to the Forum,

I too am I newbie, dx in March of 08, I'm on the "Watch and Wait",  I go back to Boston in Jan of 09 for my 3rd MRI.  You will find a lot of support at this forum,  we are all here for you.

I lost my brother back in October to a Glioblatoma Multiform Grade 4 brain tumor, he was only 49.  The doctors in Boston say there is no connection between my brothers tumor and mine.  I'm 46.

I disagree, I know that they are different kinds and mine is not CA but siblings having brain tumors at the same time????

Keep in touch and best of luck to you and your family,

LisaP :)
Title: Re: And it's "not hereditary" ??
Post by: wendysig on November 21, 2008, 07:59:53 am
HI April,
Welcome to the forum and sorry I am so late in greeting you.  You seem like a very together and decisive person and seem to really have a handle on things and besides with all the wonderful advice you've gotten from my fellow forumites, there  isn't much to add.   As others have said, I think you will find our group to be a wonderful source of support and comfort.  Please feel free to ask any questions and vent whenever necessary.  You have a wonderful attitude and that, in my opinion, is half the battle.

Best wishes,
Wendy

Title: Re: And it's "not hereditary" ??
Post by: Joef on November 23, 2008, 07:51:16 am
*blows LisaP kiss*  :-*

We're here to help... the support is great... the drinks are watered down...  but, we're here to help.


They are ? ... * your fired as the bartender * ;)

my mother has poor hearing too (hearing aids on both sides)... and my AN .. is her worse side.... one of the reasons I never saw a doctor for the hearing loss .. I just assumed it was bad gene's ... it was not until the other issues came in the play that I went for help (balance, ear fullness)

my theory is... I wacked my head really hard as a kid (no bike helmets back then) and piniched the nerve... causing the tumor to slowly grow...
Title: Re: And it's "not hereditary" ??
Post by: leapyrtwins on November 23, 2008, 07:09:01 pm
You know, I wondered about the watered down drinks comment, also  ???

Phyl -  have you been holding out on us  ???

Makes me wonder what else you haven't been telling us  :D ;)

Jan