What symptoms would a patient likely present with prior to surgery for the removal of an acoustic neuroma?

Prior to surgery for the removal of an acoustic neuroma, patients often present with symptoms directly related to the tumor's effects on the auditory and vestibular systems due to its location on the vestibulocochlear nerve (CN VIII). These tumors can lead to hearing loss because they affect the nerve responsible for hearing, which can manifest as a gradual decline in auditory function or a sudden loss of hearing.

Headaches may be present as a result of increased intracranial pressure or irritation to surrounding structures due to the growing mass. An unsteady gait is commonly reported because the acoustic neuroma can impair the vestibular function, which is crucial for balance. The vestibular system helps in maintaining balance, and its compromise can lead to feelings of instability or dizziness.

While other symptoms listed might relate to different neurological conditions, hearing loss, headaches, and unsteady gait are specifically indicative of the effects of an acoustic neuroma on the relevant cranial nerves and associated structures. Therefore, these symptoms make it clear that a patient might be experiencing the direct consequences of the tumor prior to surgical intervention.