Hassan Mohammed1, Mayen Briggs2, John Phillips2. 1. ENT Department, Norfolk and Norwich University Hospital, Colney Lane, Norwich, NR4 7UY, UK. hmohammed@nhs.net. 2. ENT Department, Norfolk and Norwich University Hospital, Colney Lane, Norwich, NR4 7UY, UK.
Abstract
OBJECTIVES: We present a case of posterior reversible encephalopathy syndrome (PRES) presenting with pulsatile tinnitus. We highlight the significance of a detailed neurological and cardiovascular assessment including the measurement of blood pressure in patients presenting with pulsatile tinnitus. METHOD: Case presentation and literature review. RESULTS: One patient with undiagnosed PRES, who presented to our ear, nose and throat surgery department with pulsatile tinnitus is discussed. Symptoms, signs, investigations and treatments are presented. A literature review is also included. CONCLUSION: Pulsatile tinnitus can be the presenting symptom of neurovascular disorders, some of which might have serious sequelae if not treated promptly. Detailed neurological and cardiovascular history is recommended in addition to radiological investigations in patients presenting with pulsatile tinnitus.
OBJECTIVES: We present a case of posterior reversible encephalopathy syndrome (PRES) presenting with pulsatile tinnitus. We highlight the significance of a detailed neurological and cardiovascular assessment including the measurement of blood pressure in patients presenting with pulsatile tinnitus. METHOD: Case presentation and literature review. RESULTS: One patient with undiagnosed PRES, who presented to our ear, nose and throat surgery department with pulsatile tinnitus is discussed. Symptoms, signs, investigations and treatments are presented. A literature review is also included. CONCLUSION:Pulsatile tinnitus can be the presenting symptom of neurovascular disorders, some of which might have serious sequelae if not treated promptly. Detailed neurological and cardiovascular history is recommended in addition to radiological investigations in patients presenting with pulsatile tinnitus.
Authors: Jennifer E Fugate; Daniel O Claassen; Harry J Cloft; David F Kallmes; Osman S Kozak; Alejandro A Rabinstein Journal: Mayo Clin Proc Date: 2010-05 Impact factor: 7.616