Most schwannomas start out as intracanalicular, and growth compresses the nerve against the bony canal, so the first symptoms of the tumor are unilateral sensorineural hearing loss or distubances in balance.
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The tumor may develop within the auditory canal, where the vestibulocochlear nerve which supplies the inner ear penetrates the skull ( intracanalicular neuroma ) or outside the canal ( extra-canalicular neuroma ).
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