<prompt> Earliest symptom of acoustic neuroma is:Facial weaknessUnilateral sensorineural deafnessReduced corneal reflexCerebellar signs  <response>: Ans. B Acoustic neuroma - Progressive unilateral sensorineural hearing loss often accompanied by tinnitus is the presenting symptoms in majority of cases Imbalance or unsteadiness, True veigo is seldom seen V cranial nerve is the earliest nerve to be involve rest VII, IX, X cranial nerve also commonly involved XI, XII, III, IV, VI are affected when tumor is very large Brain stem, cerebellar involvement an ICT symptoms also occurs. The presence of bilateral vestibular schwannomas is diagnostic of neurofibromatosis type 2. 