False-positive MRI in a patient with otoneurological pathology

After a short survey on the diagnostic work-up for acoustic neuroma, the authors underline the importance of magnetic resonance (MRI), enhanced by gadolinium, for otoneurological pathology. Through the presentation 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 discussed, although in this specific case a proper therapeutic approach was eventually carried out in order to resolve the associated VIIth nerve disturbance.