There is a possibility to cure the 20 years old acoustic neuroma, most of this disease can be cured by surgical resection. Auditory neuroma originates from the auditory nerve sheath, mostly seen in adults, early diagnosis and early treatment is good; auditory neuroma 20 years of slow growth, such as fast growth will cause increased intracranial pressure resulting in headache, nausea, vomiting, etc., most of this disease can be cured by surgical resection, and commonly used method is to resect the auditory nerve sheath tumor by infra-occipital approach, and gamma knife can be considered as a treatment for any residuals after the surgery. Once the diagnosis of acoustic neuroma is confirmed, surgery should be done to remove the tumor. If the tumor continues to increase in size, it will cause hemianopsia, choking and coughing, hoarseness, difficulty in swallowing, and vision loss. After the surgery of acoustic neuroma, we should pay attention to prevent wound infection, and focus on high-calorie, high-protein and high-vitamin food. If you have headache, dizziness, etc., you should consult the doctor in time. If you are diagnosed with acoustic neuroma, you should have surgery in time, and have regular review after surgery.