Cerebello-pontine angle (CPA) surgeries tend to carry the surgeon’s knife uncomfortably close to the brainstem, putting various cranial nerves at risk for damage. For preventing this, cranial nerve monitoring using continuous electromyography (EMG) of the regional motor supply of the nerve or evoked potentials is utilized. It has been recommended in literature that propofol as a primary hypnotic component of anaesthesia would provide better conditions for cranial nerve monitoring compared to inhalational agents. High dose of propofol has certain undesirable effects as such as occasional delayed awakening, metabolic acidosis with increased lactate levels and myocardial depression causing hypotension. Dexmedetomidine has been used as an anaesthetic adjunct to propofol and has been shown to reduce propofol requirements, when used along with processed EEG monitoring. In this study, we propose to quantify the probable dose reduction of propofol with use of dexmedetomidine during CPA surgeries and compare the recovery profile, adequacy of cranial nerve monitoring, acid base status and intraoperative haemodynamics with and without the usage of dexmedetomidine.