<prompt> A 70 year old male presents with loss of sensation in external auditory meatus Hitzelbergs sign positive.The likely diagnosis is -Vestibular schwannomaMastoiditisBells palsyMiddle ear cholesteatoma  <response>: This is a case of vestibular schwanoma where involvement of sensory fibres of VIIth nerve leads to anesthesia over the postero superior part of external meatus and canal. This is known as Hitselberger sign. 