Q:

A 35 year old man presents with balance problems, headache, SNHL (sensory neural hearing loss) and loss of coreneal reflex on the left side. What is the most definitive investigation?

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A 35 year old man presents with balance problems, headache, SNHL (sensory neural hearing

loss) and loss of coreneal reflex on the left side. What is the most definitive investigation?


  1. CT scan of internal auditory meatus
  2. Nuclear imagine of the brain
  3. MRI of internal auditory meatus
  4. MRI brain

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The key is C. MRI internal auditory meatus. [Probable diagnosis is left sided acaustic neuroma. For

this most definitive investigation is MRI internal auditory meatus].

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