This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: ENT
[{'content': 'In a patient with acoustic neuroma, all are seen except - \nSelect and explain. \nA. Facial nerve may be involved, B. Reduced corneal reflex, C. Cerebellar signs, D. Acute episode of vertigo', 'role': 'user'}, {'content': 'Answer: D \nExplanation: Lets see Each Option Separately\n\nOption a – Facial nerve may be involved –\n\nThis is correct as we have discussed in previous Questions,. facial nerve may be involved but complete palsy doesnot occur\n\nOption b – Reduced corneal reflex –\n\nThis is correct reduced corneal reflex is the first sign of Trigeminal nerve involvement\n\nOption c – Cerebellar signs – This is correct\nOption d – Acute episodes of vertigo\n\n“Vestibular symptoms seen in acoustic neuroma are imbalance or unsteadiness. True vertigo is seldom seen”\n\nAcute 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.', 'role': 'assistant'}]