In a patient with acoustic neuroma, all are seen except
Clinical features: Progressive unilateral sensory neural healing loss often accompanied by tinnitus. Vestibular symptoms seen are unsteadiness and rarely veigo. Cranial nerve involvement: Vth cranial nerve: Reduced corneal sensitivity, numbness or paraesthesia of face. VIIth nerve: Hypoesthesia of posterior metal wall, loss if taste and reduced lacrimation. IX and X nerves: Dysphagia and hoarseness due to palatial, pharyngeal and laryngeal paralysis. XI and XII, III, IV and VI are affected. Brainstem involvement: Ataxia, weakness and numbness of the arms and legs with exaggerated tendon reflexes. Cerebellar involvement: Pressure symptoms. Finger-nose test, knee heel test, dysdiadochokinesia, ataxia gait and inability to walk along a straight line with the tendency to fall to the affected side. Raised intracranial tension: Headache, nausea, vomiting, diploma, papilloedema. Ref: Textbook of diseases of ENT, PL Dhingra, 7th edition, pg no. 125
Ear
Facial nerve may be involved
Reduced corneal reflex
Cerebellar signs
Acute episode of veigo
Acute episode of veigo