After a short survey on the diagnostic work-up for acoustic neuroma, t
he authors underline the importance of magnetic resonance (MRI), enhan
ced by gadolinium, for otoneurological pathology. Through the presenta
tion of a clinical case, the pros and cons for the routine application
of MRI in suspect cerebellopontine angle (CPA) tumours in particular
are reviewed. The possibility of false-positive MRI findings is discus
sed, although in this specific case a proper therapeutic approach was
eventually carried out in order to resolve the associated VIIth nerve
disturbance.