Abstract
Objectif: Describe the different unusual clinical presentation of the acoustic neuroma. 
 Material and method: We report the case of a 51-year-old man who presented with a acoustic neurinoma revealed by vertigo. 
 Clinical case: Mr. Z.M presented presented progressively the instalation of an intense rotational non-positional vertigo, without concept of tinnitusthe, the evolution may show a deafness of transmission, discordant with the attack cochlear retrehearing .The vestibular test results showed a left vestibular deficit with a right preponderance. And the MRI finally objectified an Acoustic Neuroma (NA). 
 Conclusion: The unforeseen development of the NA should make evoke in certain forms of rotary vertigo, even without obvious otological signs, a hypothesis of retro cochlear involvement, in locurance an acoustic neuroma. Vestibular tests can be a means of evaluating the evolution of the size of these tumors.
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