Evidence Checklist: Acoustic Neuroma (Vestibular Schwannoma)

ENT/neurotology evaluation and treatment recordsCritical

Records documenting treatment approach (active surveillance, stereotactic radiosurgery, microsurgery) and functional outcomes.

Nexus opinion linking acoustic neuroma to service (noise/radiation exposure)Critical

Medical opinion connecting vestibular schwannoma to in-service ionizing radiation exposure or intense noise trauma.

MRI internal auditory canals with gadolinium confirming tumorCritical

MRI showing the vestibular schwannoma/acoustic neuroma — size, location, and any brainstem compression.

Audiogram and ABR documenting asymmetric SNHLCritical

Hearing tests showing unilateral or asymmetric sensorineural hearing loss characteristic of acoustic neuroma.

Buddy statement from spouse, family, or fellow service member

A written statement from someone who can describe observable symptoms and how your condition affects daily life.

Personal statement describing symptoms and functional impact

Your own written account of how this condition affects your daily activities, work, and relationships. Describe your worst days.

Service treatment records (STRs)Critical

Military medical records showing in-service treatment, complaints, or injuries related to this condition.