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129 Possible Causes for Diplopia, Neck Pain, Pulsatile Tinnitus

  • Idiopathic Intracranial Hypertension

    One patient had horizontal diplopia due to an acute sixth nerve palsy along with severe constriction of visual fields while the second patient had symptoms of blurred vision[] Patients without pulsatile tinnitus were excluded.[] Positive acetazolamide-related effects on QOL appeared to be primarily mediated by improvements in visual field, neck pain, pulsatile tinnitus, and dizziness/vertigo that[]

  • Carotid Artery Dissection

    Neurological examination revealed a left-sided ptosis and binocular horizontal diplopia in dextroversion without apparent extraocular-muscle paresis or pupillary involvement[] Herein, we report a rare case of cervical artery dissection in which pulsatile tinnitus was the only reported symptom.[] We present a case of spontaneous carotid artery dissection in a previously healthy 48-year-old woman who presented with neck pain and elevated inflammatory markers.[]

  • Subclavian Steal Syndrome

    In patients with subclavian steal the most frequent symptoms are Arm pain with exercise Dizziness or vertigo Diplopia, bilateral visual blurring Motor or sensory symptoms[] This year the patient has not complained of vertigo, but rather of a permanent disturbing pulsatile tinnitus.[] He also complained of light headedness, left arm pain and numbness on exertion.[]

  • Intracranial Hypertension

    In the following 2 months, he gradually developed hoarseness and diplopia at the left and lower fields of vision.[] Undiagnosed patients may present to otolaryngologists with pulsatile tinnitus, dizziness, sleep apnea, and spontaneous cerebrospinal fluid leaks.[] April Newsletter, Lewitt Headache & Neck Pain Clinic, PLLC, Greensboro, NC[]

  • Arnold Chiari Malformation

    A case of type I Arnold-Chiari malformation, with onset of diplopia, without associated medullar alteration, is presented.[] An 18-year-old female patient presented with left dominant neck pain after a motor vehicle collision.[] Other complaints that may be noted in these patients are nausea and vomiting, dysarthria, intermittent blurred vision, diplopia, and ataxic gait.[]

  • Carotid Artery Aneurysm

    An 11-year-old female child presented with acute onset fever, headache, chemosis followed by diplopia, right-sided ptosis with ophthalmoplegia.[] Pelliccia et al. headache and neck pain. Neurological examination was normal.[] Intracranial CAAs may manifest with diplopia, persistent headaches, and cranial nerve palsy, such as a palsy of the abducens nerve (VI cranial nerve).[]

  • Viral Meningitis

    The patient was treated with intravenous fluids and analgesics and with a temporary prism to alleviate diplopia. Within 3 weeks, she had fully recovered.[] A 24-year-old male was admitted to our institute because of periorbital pain, decreased vision, pulsatile tinnitus, chemosis, and exophthalmos on the right side after he had[] The patient experienced near-complete resolution of his symptoms, his only residual complaint being that of neck pain with head movement.[]

  • Cavernous Sinus Aneurysm

    Seven patients complained of horizontal diplopia, whereas two had vertical diplopia and one had oblique diplopia.[] Sigmoid sinus diverticulum and pulsatile tinnitus: analysis of CT scans from 15 cases.[] Of 11 patients with subarachnoid extension, five had a subarachnoid hemorrhage (Grade I or II), five had ipsilateral visual loss, and one had periorbital pain.[]

  • Vertebral Artery Dissection

    A 42-year-old man with fever, sore throat, and runny nose developed sudden onset of occipital headache, vertigo, transient confusion, diplopia, and ataxia.[] “whooshing” sound in one of the ears, known as pulsatile tinnitus, or a sudden decrease in sense of taste and/or weakness on one side of the body.[] Clinical clue for diagnosis of vertebral artery dissection includes initial symptoms such as headache, neck pain, or dizziness.[]

  • Familial Cerebral Arteriovenous Malformations

    Dural arteriovenous malformations typically feature pulsatile tinnitus, cranial bruits, headaches, or hemifacial spasm.[] Patients usually complain of hearing a continuous noise (bruit) that occurs with each heartbeat, local pain behind the ear, headaches and neck pain.[] Symptoms of an AVM that is bleeding are: Confusion Ear noise/buzzing (also called pulsatile tinnitus) Headache in one or more parts of the head, may seem like a migraine Problems[]

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