Symptom	Suggested diagnosis
Aural fullness	Acoustic neuroma; Ménière’s disease
Ear or mastoid pain	Acoustic neuroma; acute middle ear disease (e.g., otitis media, herpes zoster oticus)
Facial weakness	Acoustic neuroma; herpes zoster oticus
Focal neurologic findings	Cerebellopontine angle tumor; cerebrovascular disease; multiple sclerosis (especially findings not explained by single neurologic lesion)
Headache	Acoustic neuroma; migraine
Hearing loss	Ménière’s disease; perilymphatic fistula; acoustic neuroma; cholesteatoma; otosclerosis; transient ischemic attack or stroke involving anterior inferior cerebellar artery; herpes zoster oticus
Imbalance	Acute vestibular neuronitis (usually moderate); cerebellopontine angle tumor (usually severe)
Nystagmus	Peripheral or central vertigo
Phonophobia, photophobia	Migraine
Tinnitus	Acute labyrinthitis; acoustic neuroma; Ménière’s disease