Question

A 55-year-old man complains of progressive unilateral hearing loss, tinnitus, and occasional imbalance. MRI reveals an acoustic neuroma (vestibular schwannoma). According to NICE, which management approach is appropriate for a small, asymptomatic lesion?

Accepted Answer

Conservative management with serial MRI scans

Answer

Immediate surgical resection

Answer

High-dose corticosteroids

Answer

Radiotherapy to the lesion

Answer

Urgent hearing aid fitting

Practice question

A 55-year-old man complains of progressive unilateral hearing loss, tinnitus, and occasional imbalance. MRI reveals an acoustic neuroma (vestibular schwannoma). According to NICE, which management approach is appropriate for a small, asymptomatic lesion?