Case presentation A woman in her 40s presented with a constant right pulsatile tinnitus with a whooshing sound for four years. She reported that holding her breath and turning her head to the left exacerbated her symptoms and that the compression of her right neck and turning her head to the right decreased the loudness of the tinnitus. She had not experienced hypertension, vertigo, sleep apnea, hyperthyroidism, hearing loss, head trauma, ear infections, otorrhea, rhinorrhea, ear surgery, or a family history of ear problems. Examination The external auditory canals were clear bilaterally.
Tympanic membranes were intact and mobile bilaterally. There was no evidence of any vascular masses in the middle ear space. Results from testing with tuning forks were normal. Toynbee stethoscope revealed a bruit in the right ear that could be stopped with gentle compression of the right side of the…
