@Snapple2020 I really do sympathize with you and we are all too familiar with feeling of dismissal and total rejection by the folks who were supposed to care for us. We all went through it getting ES diagnose. I am NO more knowledgeable than the folks in here. I guess I am the loudest while others prefer to be quiet. The problem is most doctors do not spend much time in looking at individual cases and miss subtle things that could explain symptoms of the patients. Perhaps, they are too busy and do not have the time. We are not doctors but where we all help each other is to do little more research on an area where we think they are not looking into it in detail so that we can bring the much needed attention of the doctor to it so that he/she could focus on it and do the appropriate medical tests to either confirm or rule out as an issue. This I think is gap in the current overloaded medical system and is where the patient needs to do their bit to guide their physicians.
In your case, I really do not have a clue what could be causing mild hearing loss, loss of acoustic reflexes and loss hand & arm function. There could be many different etiologies (causes); Autoimmune diseases, Tumors ( Such as Acoustic Neuroma), Vascular compressions…etc. Even connective tissue disorder is linked to hearing loss. So one needs to rule out all of these as cause. Not sure if you have eliminated all of these, if not yet, you will certainly need contrast enhanced MRI and CT to rule all of these out.
BTW, you have a good reason to suspect the facial nerve as it runs through ear canal along with vestibulocochlear nerve and whatever is irritating/compressing can also potentially affect hearing and balance. Perhaps, an MRI to rule out any pathologies in cerebellopontine angle would be better. This will eliminate 7th and 8th cranial nerve pathologies. You said you had presyncope, was that an actual presyncope or vertigo? sometimes it is hard to distinguish between the two. I am not doctor, I am here to help you as much as I can. if you had some recent imaging such as MRI or CT, that will be definitely helpful.
Internet picture showing the close proximity of the facial nerve and vestibulocochlear nerve.
