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
The first clinical presentation of acoustic neuroma is feature of ____________ 
Select and explain. 
A. Brainstem involvement, B. Cerebellar involvement, C. Facial nerve involvement, D. Cochleovestibular symptoms
D: Cochleovestibular symptoms
Answer: D: Cochleovestibular symptoms 
Explanation: The earliest symptoms of acoustic neuromas include ipsilateral sensorineural hearing loss/deafness, disturbed sense of balance and altered gait, veigo with associated nausea and vomiting, and pressure in the ear, all of which can be attributed to the disruption of normal vestibulocochlear nerve function. Additionally more than 80% of patients have repoed tinnitus.