###Human: Can hearing deterioration and vertigo be due to acoustic neuroma? ###Assistant: Hello. To rule out acoustic neuroma we do need an MRI scan. Acoustic neuroma is a tumor that grows inner to the inner ear where there are a lot of nerves passing by. If the tumor grows and involves the nerves it can cause palsies of the nerves which may be irreversible. The hearing loss you have said does not let us conclude whether it is a conductive hearing loss or a neural. This is also important. If someone can click a picture and send to you it will be really helpful. In addition, I would like to know if you have any vertigo, nausea, a fullness of ear, facial weakness, ear discharge or an earache. It is advisable to get the MRI done without much delay. If the otolaryngologist has suspected acoustic neuroma then it is better to haste the process.