A 19-Year-Old Woman With Headaches and Pulsatile Tinnitus

Sumaira Nabi, MBBS; Muhammad Fateen Rashid, MBBS; Shahzad Ahmed, MBBS


January 06, 2017

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A 19-year-old obese woman presents to the outpatient department with a 5-month history of diffuse headaches. She also complains of transient visual obscurations and pulsatile tinnitus in both ears for the past month. Her symptoms are worse in the early morning and also aggravate with straining and coughing.

No fever, neck pain, vomiting, photophobia, altered sensorium, or seizures are noted in her history. She is single and unemployed. She is a nonsmoker and denies substance abuse. Her medical, surgical, and medication history is unremarkable. The family and social history is noncontributory.


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