Extracranial Internal Carotid Aneurysm Manifesting With Tinnitus: A Rare Presentation

Abstract

A 19-year-old male presented with a history of pulsatile tinnitus on the left side after he underwent drainage for a tonsillar swelling. He had noticed a painless neck swelling one month ago that was associated with difficulty in swallowing. His physician had made a diagnosis of peritonsillar abscess, and drainage had been performed. After the procedure, the swelling had progressed further, leading to drooling of saliva and disabling tinnitus. When he presented to the emergency, local examination revealed a pulsatile neck swelling with peritonsillar mass. CT angiography/digital subtraction angiography (DSA) of the neck and brain revealed a large aneurysm of the distal cervical segment of the left internal carotid artery (ICA). The patient successfully underwent an urgent open repair. This case highlights the importance of a thorough history and examination in identifying a rare cause of pulsatile tinnitus. A stepwise approach to determine the reason behind tinnitus revealed an underlying ICA aneurysm of the extracranial segment.

Breaking Stereotypes: Portrayal of Motherhood in New-Age Malayalam Cinema With Special Reference to Kumbalangi Nights and Uyare

“…Marking his directorial debut, Manu Ashokan helmed the Malayalam-language drama film "Uyare", unveiled in 2019. Penned by Bobby and Sanjay, backed by the three sisters Shenuga, Sheena, and produced by Sherpa, movie highlights the performances of Parvathy Thiruvothu, Asif Ali, and Tovino Thomas in key parts Pillai (2019). The narrative orbits around Pallavi Raveendran (Pravathy), a student pursuing studies in aviation, who faces the harrowing aftermath of an acid attack, leading to permanent facial alterations and endangering her professional aspirations.…”

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