听神经瘤表现多种多样,其症状一般缓慢出现、进行性加重。也有个别病例表现为突发性第Ⅷ脑神经麻痹。然而,因听神经瘤内出血而突发多发脑神经麻痹的则罕见。据作者所知,文献中还未曾有过报道。本文报告一例以Bell氏面瘫就诊的患者,其症状主要有反复发作枕部疼痛3周、不稳感3日,就医之日突发右侧面瘫及耳聋。检查右侧重度感觉神经性聋;Ⅰ度眼震;右三义神经分布区触、痛觉减退,角膜反射减弱;右侧下位运动神经元完全性面瘫,同侧舌前2/3味觉减退;有轻度共济失调,昂白氏征阳性。内耳道X线平片及断层片示右内耳道不规则扩大;CT提示颅后窝有一大肿瘤。拟诊听神经瘤。取右侧颅 The performance of acoustic neuromas is various and their symptoms generally appear slowly and progressively. There are also individual cases of sudden VIII cranial nerve palsy. However, bursts of multiple cerebral palsy are rare because of intracerebral hemorrhage. According to the author’s knowledge, there have been no reports in the literature. This article reports a case of patients with Bell’s facial paralysis, the main symptoms of which are recurrent occipital pain for 3 weeks and instability for 3 days. On the day of medical treatment, sudden facial paralysis and deafness occur. Examination of the right side of the sensory neuropathic spasm; degree I nystagmus; right trigeminal nerve distribution area, touch, pain and diminished corneal reflex; right lower motor neuron complete facial paralysis, ipsilateral tongue anterior 2/3 taste loss; Mild ataxia, Ang’s sign is positive. The X-ray film and the tomogram of the internal auditory canal showed irregular enlargement of the right internal auditory canal; CT showed a large tumor in the posterior fossa. To diagnose acoustic neuroma. Take the right cranial