Hearing neuroma needs to be differentiated from the following diseases 1. Early stage (progressive deafness without recurrence) needs to be differentiated from vestibular neuritis, inner ear vertigo and drug-induced vestibular nerve damage. (2) Glioma located in the cerebellum and brainstem, early cerebellar and facial nerve symptoms, unclear border, heterogeneous enhancement, no enlargement of the internal auditory canal (3) Meningioma tinnitus, hearing loss is not obvious, cranial hypertension is predominant, clear border, wide base and (4) Trigeminal nerve Schwann cell tumor with trigeminal neuralgia, no tinnitus and hearing loss, often growing toward the base of the middle cranial fossa, with bone resorption at the tip of the rock bone and no enlargement of the internal auditory canal (5) Other cranial nerve sheath tumors, fourth ventricle tumors, lateral cerebellar or brain stem tumors, metastases or other malignant tumors, arachnoid cysts, etc.