A recent case of Nicole Cutler, a woman who discovered an avocado-sized brain tumor after losing hearing during a flight, has drawn attention to the challenges of delayed brain tumor diagnosis. Her experience mirrors findings from global research showing that brain tumors often remain undetected until they reach an advanced stage.
Nicole Cutler’s tumor, diagnosed after she experienced a sudden hearing loss during a flight after her ears popped, was revealed to be benign but large in size. She was diagnosed with an Acoustic neuroma. An acoustic neuroma is a type of non-cancerous benign brain tumour, also known as a vestibular schwannoma. Acoustic neuromas grow on the nerve used for hearing and balance, which can cause problems such as hearing loss and unsteadiness. They sometimes tend to get larger and mostly affects adults aged between 30-60. [1]
She underwent a complex surgery to remove it, marking a major turning point in her recovery journey. Her right side was paralysed after the surgery, and she had to learn again to walk and to do other basic activities. Her case has resonated widely because of how subtle neurological symptoms can go unnoticed for long periods.
Scientific literature confirms that brain tumor diagnosis is often delayed. The average diagnostic delay in brain tumor patients can extend for several months. Factors contributing to the delay include nonspecific early symptoms such as headaches, dizziness, or hearing changes, which are frequently misattributed to minor conditions. [2]
Nicole's tumor grew again in size for which she had to undergo another surgery which again left her to do rehabilitation and recovery again.
There are additional barriers in developing countries, including reliance on traditional healers, spiritual interpretations of illness, and limited access to neurosurgical facilities. Patients often seek alternative explanations for persistent symptoms before turning to medical professionals, prolonging diagnosis and treatment. [2]
Medical experts emphasize that tumors can grow significantly during these delays. In Cutler’s case, the tumor had grown to the size of an avocado before being discovered. Such growth can increase the risk of complications during surgery and impact long-term neurological outcomes. According to clinical reports, timely detection significantly improves prognosis, especially in cases of benign tumors.
Researchers recommend that physicians maintain a high index of suspicion when patients present with persistent neurological complaints. Use of advanced imaging, such as MRI, can confirm or rule out brain tumors at earlier stages. Public awareness about recognizing warning signs, persistent headaches, unexplained hearing loss, vision changes, and balance problems also plays a critical role in early intervention.
After her surgery was successful, she is running major marathons to raise awareness against brain tumors.
References:
1. NHS. 2023. “Acoustic Neuroma (Vestibular Schwannoma).” NHS UK. Accessed September 3, 2025. https://www.nhs.uk/conditions/acoustic-neuroma/?trk=public_post_comment-text.
2. Ali, Shabir Hussain, Muhammad Shahid Iqbal, Shafqat Ali, and Adnan Aslam. 2022. “Delay in Diagnosis of Brain Tumors: A Dilemma for Neurosurgical Community Due to Spirituality and Quackery in a Developing Country.” ResearchGate. https://www.researchgate.net/publication/365824125_Delay_in_Diagnosis_of_Brain_Tumors_A_Dilemma_For_Neurosurgical_Community_Due_To_Spirituality_and_Quackery_In_A_Developing_Country.
(Rh/Eth/TL/MSM)