<prompt> In a patient with acoustic neuroma, all are seen except -Facial nerve may be involvedReduced corneal reflexCerebellar signsAcute episode of vertigo  <response>: Lets see Each Option SeparatelyOption 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 occurOption b Reduced corneal reflex This is correct reduced corneal reflex is the first sign of Trigeminal nerve involvementOption c Cerebellar signs This is correctOption d Acute episodes of vertigoVestibular symptoms seen in acoustic neuroma are imbalance or unsteadiness. True vertigo is seldom seenAcute 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. 