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ENT General 916b0c14

In a patient with acoustic neuroma, all are seen except -

A
Facial nerve may be involved
B
Reduced corneal reflex
C
Cerebellar signs
D
Acute episode of vertigo
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.

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