The Case Challenge series includes difficult-to-diagnose conditions, some of which are not frequently encountered by most clinicians but are nonetheless important to accurately recognize. Test your diagnostic and treatment skills using the following patient scenario and corresponding questions. If you have a case that you would like to suggest for a future Case Challenge, please contact us.
A 19-year-old woman with obesity 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 aggravate with straining and coughing.
No fever, neck pain, vomiting, photophobia, altered sensorium, or seizures are noted. She is single and unemployed. She is a nonsmoker and does not use illicit substances. Her medical, surgical, and medication history is unremarkable. The family and social history is noncontributory.
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Cite this: Sumaira Nabi, Muhammad Fateen Rashid, Shahzad Ahmed. Neurology Case Challenge: A 19-Year-Old With Tinnitus, Vision Problems, and Headaches - Medscape - May 31, 2022.