Pain in the head and back of the eyes with a continuous rumbling sound

Introduction Pain in the head and back of the eye and the ability to hear continuous rumbling are clinical manifestations of pulsatile eyeballs.

Cause

Causes: The causes of this disease can be divided into two categories:

1. Injury: seen in a skull base fracture or a penetrating injury.

2. Idiopathic: Less common, occurs in patients with congenital or acquired internal carotid aneurysm or arteriosclerosis, mostly unilateral.

an examination

Related inspection

Eye and sacral area CT examination EEG examination

diagnosis:

1. The eyeball of the affected side is prominent, pulsating with the pulse and accompanied by noise.

2, with the finger pressing the eyeball or the ipsilateral common carotid artery can reduce the eye.

3, eyelids and conjunctiva swelling and congestion, there is double vision.

4, may have paralytic keratitis.

5, due to varicose veins, a soft mass can be reached above and inside the ankle.

6, fundus examination often found papilledema, retinal vein tortuosity and retinal hemorrhage. The degree of vision loss varies.

7, the disease suddenly occurred, the affected side of the head and the back of the eye pain, the patient often complained that you can hear continuous rumble, the examiner can put the stethoscope on the eye and the ankle can also hear the same sound.

Differential diagnosis

Evening headache fixed around one eye and around the eyelids: The headache is fixed around one eye and around the eyelids. The episodes are mostly in the evening and are more common in cluster headaches. A cluster headache is one of the more serious headaches and is one of the vascular headaches. Named for the onset of headaches over a period of time. Previous textbooks have used this disease as a subtype of migraine. In recent years, it has been identified as an independent disease entity because of its different pathogenesis, clinical appearance and migraine.

Starting from the eye, the open face headache: autonimic faciocephalagia (also known as vasodilator headache syndrome). The pain starts at the eye, expands the cheek, and abuts the ear along the nose and teeth. Can not sleep because of vomiting, the pain lasts for hours to days.

Eye pain: often a complaint of symptoms in patients with eye diseases. Many lesions of the eyeball and its appendages can cause significant eye pain. Because of the different diseases, the location and nature of the pain are different, so it is necessary to combine other signs to further confirm the diagnosis.

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