Abstract
A 71-year-old lady attended ENT clinic with a nine-month history of
right #pulsatile tinnitus and #peri-nasal pain. There was no hearing loss,
vertigo or nasal complaint. Otoscopic and flexible #nasendoscopy
examination was entirely normal. On auscultation there was no neck
bruit. On auscultation there was no neck bruit. An audiogram showed only a
mild, high-frequency, #symmetrical sensorineural hearing loss. In view of
the unilateral symptoms she had an MRI (Figure 1) which was normal, and
the patient was subsequently discharged. Four months later she
presented as an emergency to the #Ophthalmologists with sudden onset of a
swollen and #erythematous right eye with decreased eye movements, which
was preceded by intermittent blurred vision of the affected eye.
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