Clinical evaluation and investigation of patients with a sporadic vestibular schwannoma.

The incidence of vestibular schwannoma (VS) is increasing and patients with VS often have few symptoms. The aim of this chapter is to provide a framework for assessment and investigation of patients with sporadic vestibular schwannoma. Typical presentations, such as asymmetric sensorineural hearing loss, tinnitus, and balance disturbance, will be discussed, as well as atypical symptoms, highlighting potential red flags that could be the patients' only presenting symptom. An evidence-based approach to investigating patients with VS is discussed. This chapter explores the potential benefit of performing vestibular assessments in patients who are about to undergo surgical treatment and examines how a comprehensive initial evaluation of patients influences patient recovery and outcomes following surgery.