Which symptom is commonly associated with an acoustic neuroma?

Hearing loss is commonly associated with an acoustic neuroma due to the tumor's location on the vestibulocochlear nerve (cranial nerve VIII), which is responsible for hearing and balance. As the tumor grows, it can compress this nerve, leading to auditory symptoms. Patients often report unilateral (one-sided) hearing loss, tinnitus (ringing in the ears), and balance issues, which are characteristic of this condition.

Other symptoms listed, such as severe visual disturbances and persistent coughing, are not typical manifestations of acoustic neuroma. Nausea and vomiting can occur, but they are more related to increased intracranial pressure or vestibular dysfunction rather than the tumor itself. The primary and most notable symptom remains hearing loss, making it the most accurate choice in this context.