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Causes of Acoustic Neuroma. What exactly causes acoustic neuroma is unknown. Certain risk factors -- such as age and a family history of neurofibromatosis type 2 -- may make a person more likely to develop this condition. However, people with risk factors do not always get acoustic neuroma, and people without risk factors can get it as well.
1 However in humans, the acoustic reflex only involves the contraction of the stapedius muscle-not the tensor tympani. 2  The contraction of the stapedius muscle occurs bilaterally in normal ears, no matter which ear was exposed to the loud sound stimulation. 3  The acoustic reflex mostly protects against low frequency sounds.