A Clear Guide to Vestibular Schwannoma
Comprehensive Care for Vestibular Schwannoma
Unilateral hearing loss, tinnitus, or balance issues? Vestibular schwannoma (acoustic neuroma) symptoms are common and usually slow-growing, and are not typically a sign of something acutely serious. At Harley AVM, we manage them effectively. Seek urgent AVM care for sudden hearing drop, severe imbalance, facial weakness, or headaches. These high-risk symptoms need immediate evaluation.
Comprehensive Care for Hearing, Vertigo & Balance
Comprehensive Care for Hearing, Vertigo & Balance
Benign Tumour of the Balance Nerve
An Overview of Vestibular Schwannoma
A vestibular schwannoma is a non-cancerous growth that develops on the vestibular nerve, which carries balance and hearing signals from the inner ear to the brain. As the tumour grows slowly, it can interfere with nerve signalling, leading to symptoms such as hearing loss on one side, tinnitus, imbalance, or a sense of unsteadiness.
Symptoms often progress gradually and may be subtle at first. Balance problems usually reflect reduced input from one inner ear rather than sudden vertigo. Although vestibular schwannomas are benign, accurate identification is important. Early diagnosis allows appropriate monitoring, timely referral, and informed decisions about management based on tumour size, symptoms, and individual needs.
OUR REVIEW
Trusted by Patients,
Proven by Results
EXCELLENT Based on 112 reviews Posted on Google Diana GranadosTrustindex verifies that the original source of the review is Google. I had an outstanding experience with Harley Street Vestibular Clinic and cannot recommend them highly enough. I developed severe vertigo while visiting London, and it was an incredibly frightening experience as it was my first time ever experiencing dizziness like that. I called the clinic on a Saturday, fully expecting to leave a voicemail since they were closed. To my surprise, the office manager, Preeti, returned my call that same day. I was so grateful. She was kind, reassuring, and went above and beyond to arrange an appointment for me first thing on Monday. From the moment I arrived, the entire team was professional, efficient, and compassionate. They understood how urgent and distressing my symptoms were and made every effort to see me as quickly as possible. The vestibular audiologist was exceptional—she took the time to thoroughly evaluate me, clearly explain everything she was doing, answer every one of my questions, and perform the appropriate treatment. I never felt rushed, and her expertise immediately gave me confidence that I was in the right hands. The clinic was incredibly responsive, organized, and genuinely caring throughout the entire process. They turned what was a very scary situation into one where I felt supported and well cared for. I am truly thankful to Preeti and the entire team for their kindness, professionalism, and outstanding care. If you are experiencing vertigo, dizziness, or balance problems, I would not hesitate to recommend Harley Street Vestibular Clinic.Posted on Google erika thomaziTrustindex verifies that the original source of the review is Google. Great positive experience!Posted on Google Carol BunyanTrustindex verifies that the original source of the review is Google. I could not fault my follow up appointment with Dr Aran and his team. He really does take the time to listen to your questions and really puts himself out to set you on the road to recovery . He genuinely seems interested in getting you better. I would highly recommend this practice.Posted on Google Ged RobinsonTrustindex verifies that the original source of the review is Google. Dr Benjamin Shaw was extremely thorough in his assessment of my recent attacks of vertigo. I have total confidence in his ability, once I have completed the further tests he has arranged at the Wimbledon clinic, to diagnose what is causing this issue with my health.Posted on Google Adrian LoweTrustindex verifies that the original source of the review is Google. I thoroughly recommend the Harley Street Audio Vestibular Clinic. I had an appointment with Dr Rudy Palaniappan who listened carefully to me, conducted a brilliant examination and explained everything to me with a future plan very clearly. I was really impressed!Posted on Google EvanTrustindex verifies that the original source of the review is Google. Dr Arun provided an excellent virtual consultation, took the time to understand symptoms and history and provided an initial diagnosis and treatment plan. It did not feel rushed or with any bias. Received comprehensive notes and summary promptly after the appointment. Would fully recommend.Posted on Google shahram zarafshanTrustindex verifies that the original source of the review is Google. Dr. Arun Pajaniappane is a brilliant and expert doctor. He was also incredibly friendly, making for a truly excellent experience.Posted on Google Vasile BaltacTrustindex verifies that the original source of the review is Google. I had an excellent consultation where both the doctor Arun Pajaniappane and the audiologist were highly professional, attentive, and genuinely responsive to my concerns. They listened carefully to my problems and explained everything clearly throughout the appointment. The procedures carried out were handled with great care and efficiency, which made me feel comfortable and well looked after. I very much appreciated their professionalism and patient-centred approach.Posted on Google Carol lansleyTrustindex verifies that the original source of the review is Google. My first consultation with Dr Arun Pajaniappane was an excellent experience. He listened carefully to me & did extensive tests to try to determine the correct diagnosis.
Pinpointing the Cause
Diagnosing Vestibular Schwannoma
When to Get Checked
You should get assessed if hearing loss, tinnitus, or imbalance develops gradually on one side, or if you notice increasing unsteadiness, difficulty localising sound, or persistent dizziness without clear triggers. Symptoms that progress over time should prompt audiovestibular review.
You should seek urgent assessment if sudden hearing loss occurs, balance deteriorates rapidly, or symptoms appear with facial weakness, numbness, visual disturbance, or severe headache. Early evaluation helps identify vestibular schwannoma and guides timely investigation and management.

How We Assess Vestibular Schwannoma
At Harley Audiovestibular Clinic, our process starts with talking about your detailed history, exploring unilateral hearing loss, tinnitus, balance issues, facial symptoms, and progression to identify vestibular schwannoma patterns. We prioritise unhurried consultations with our consultants, building a personalised picture of your condition.
We advance with audiometry, vestibular function tests, imaging (MRI), and neurological exams to confirm the diagnosis accurately, ruling out alternatives. Our senior clinicians review these collaboratively for precise insights. This expert pathway distinguishes us, informing tailored management that preserves function and quality of life effectively. At Harley AVM, we provide ongoing monitoring for optimal long-term outcomes.

Major Insurance Providers Accepted
DIAGNOSTIC TESTS
Specialist Tests to Assess Hearing, Balance and Inner Ear Health
Harley Street Specialists in Hearing, Dizziness & Balance
Specialist Care for Vestibular Schwannoma
Every Vestibular Schwannoma case is different. Your consultant will create a tailored plan to address your specific symptoms and lifestyle – when it started, how it affects your day, and which tests and treatments are right for you.