Hearing loss

Patient presented with hearing loss. Comment on Diagnose ?

50 yr old male with Nonserviceable hearing loss on right side.Diagnosis and Management.

New Case 45Yr ,F, Vertigo subjective with progressive hearing loss 2 yrs,Rt sided facial numbness 1 yr with tendency to sway to Rt side since 6 months. Evaluated by physician,ENT team on a few occassions. On exam Bp120/80 mmhg,optic fundi normal ,rt sided facial dulling of sensation ,rt sided early LMN facial weakness,rt sensoryneural deafness with rt sided cerebellar signs.MR brain done pt was ref to Neurosurgeon.

67 yr ,F ,she felt dizzy and fell down on 5th october while working in the kitchen.No head ache,no vomiting ,no motor or sensory symptoms. With the help she got up ,vomited once. Evaluated locally diagnosed to have hypoglycemia Known Diabetic on oral med . Since 2 yrs she has progressive hearing loss ,evaluated before on a few occassions. Examination- Vitals stable,BP 140/ 80 mmhg . Normal higher functions and optic fundi. Intact ocular movements with gaze evoked nystagmus more prominent on the left side.5th 7th cranial nerves normal Sensory neural deafness left side.Normal other cranial nerves. Motor system gr 5/ 5 power DTRS equal bilaterally. Mild random walking abnormality ,tendency to sway to left.Alreadt ref the case to the Neurosurgeon. Surgery is fixed for 13th oct. What abnormality in the MRI? What is the diagnosis?.

A 58 year old male presents with left-sided hearing loss for the past 4 months. Axial and sagittal T1, axial T2, axial fluid-attenuated inversion-recovery (FLAIR), axial diffusion, and pre- and postcontrast axial T1 MR images are shown below. Discuss the diagnosis and possible treatment.