In a patient with acoustic neuroma, all are seen except -
High-Yield Explanation
Lets see Each Option Separately
Option a – Facial nerve may be involved –
This is correct as we have discussed in previous Questions,. facial nerve may be involved but complete palsy doesnot occur
Option b – Reduced corneal reflex –
This is correct reduced corneal reflex is the first sign of Trigeminal nerve involvement
Option c – Cerebellar signs – This is correct
Option d – Acute episodes of vertigo
“Vestibular symptoms seen in acoustic neuroma are imbalance or unsteadiness. True vertigo is seldom seen”
Acute episode of vertigo is a rare presenting feature in acoustic neuroma since it is a slow growing tumor so there is adequate time for compensation.