Q:

A 62 year old man presents with left sided hearing loss and tinnitus. He also complains of vomiting and headache. Examination: papilledema and SNHL (sensory neural hearing loss) in the left ear. What is the single most likely diagnosis?

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A 62 year old man presents with left sided hearing loss and tinnitus. He also complains of vomiting and headache. Examination: papilledema and SNHL (sensory neural hearing loss) in the left ear. What is the single most likely diagnosis?


  1. Meningioma
  2. Nasopharyngeal ca
  3. Acoustic neuroma
  4. Pharyngeal ca
  5. Meniere’s disease

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The key is C. Acoustic neuroma. [SNHL, tinnitus, papilledema (raised intracranial pressure) are suggestive of acoustic neuroma].

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