Auditory neuroma is one of the most common benign tumors in neurosurgery, most often occurring in middle-aged adults between the ages of 30 and 50. It has a mild “veneer” and can be easily overlooked or misdiagnosed. The earliest symptoms of auditory neuroma patients are tinnitus, hearing loss and vertigo on the affected side, which may progress to progressive deafness and dizziness, and eventually complete hearing loss; facial numbness, shallow nasolabial folds, hoarseness, difficulty swallowing, and unsteady gait; headache, vomiting, and vision loss may occur in the late stage of the disease, which may be life-threatening. Because many patients are first diagnosed in ENT department, the early diagnosis rate of auditory neuroma is very low, and most of them have already developed into middle and late stage when diagnosed, and many of the above-mentioned non-hearing symptoms appear, delaying the best time for treatment. In order to detect auditory neuroma at an early stage, symptoms such as tinnitus or hearing loss must be taken seriously. Sometimes, consultation in ENT alone often delays the disease, and early imaging should be performed to clarify the diagnosis and provide timely treatment. The hearing neuroma can be cured after total resection. Since the tumor is located in this area of the pontocerebellar horn, the larger the tumor is, the more obvious the compression on the brainstem is. In the past, the surgery was mainly aimed at removing the tumor and ensuring the brainstem function (ensuring life), and the mortality rate was high. With the maturity of microsurgical techniques and the introduction of minimally invasive concepts and the application of intraoperative monitoring techniques, the previous surgical approach with the goal of removing the tumor and preserving life has now been changed.