Bob - I currently see Dr. Roland of NYU Medical Center. I think he is great and extremely informative. I am curious to see what you think of him after your appointment. Getting back to the original question, I am a current wait and watcher. I was diagnosed in March of 2004 with a 5mm to 6mm AN. My last MRI in September showed a current growth of 2mm, but it was done on the new 3.0 Tesla machine and the previous MRI was a 1.5 Tesla machine so there was some discussion if there was actual growth or not, so instead of waiting my usual year I am having another MRI at 6 mos which is at the end of the month. If it shows growth, I will probably have radiation treatment with Gamma Knife at NYU. My current hearing is at 100%, just had my hearing test last week. Slight tinnitus in that ear, but nothing major. My initial symptoms were fullness and pressure in that ear and a hearing disturbance that came on very suddently, I was put on prednisdone the next day and a few days later symptoms were gone and hearing was back 100% again. That has actually happened to me 3 times over the 2 year period so far. I can hear my heart beat in my head when my head is tilted back all the time, I am not sure if that is an actual symptom though. Balance is slightly off, but nothing major. I can't look down at the ground, makes me really dizzy, so I just avoid having to do that and I am fine, now that I am aware that it causes me a problem.  I have had major vision problems, however, due to this AN. I have had strabismus since age 3 and it has gotten increasingly worse since the AN diagnosis and I have recently been to a neuroptomologist and he has told me that the AN is definitely making the strabismus worse. I think the vision problem is probably my biggest complaint so far. Also if I rub my shoulder or anywhere actually on the left side of my body I hear a weird sound in my affected ear. I know that is related to my AN since if I do the same thing on my right side I don't hear any weird sounds in the right ear. I have asked my doctors about this and they are stumped. I think you will find with ANs everyone has some odd symptoms, some typical of an AN and some not so typical. I hope this helps.