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The Red Ear Syndrome: An Auriculo‐Autonomic Cephalgia
Author(s) -
Evans Randolph W.,
Lance James W.
Publication year - 2004
Publication title -
headache: the journal of head and face pain
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.14
H-Index - 119
eISSN - 1526-4610
pISSN - 0017-8748
DOI - 10.1111/j.1526-4610.2004.04157.x
Subject(s) - citation , queen (butterfly) , classics , art history , library science , art , computer science , biology , hymenoptera , botany
CLINICAL HISTORY A 54-year-old white female was seen with a 10-year history of episodes of a burning sensation of the left ear. The episodes are preceded by nausea and a hot feeling for about 15 seconds and then the left ear becomes visibly red for an average of about 1 hour, with a range from about 30 minutes to 2 hours. About once every 2 years, she would have a flurry of episodes occurring over about a 1-month period during which she would average about five episodes with a range of 1 to 6. There was also an 18-year history of migraine without aura occurring about once a year. At the age of 36 years, she developed left-sided pulsatile tinnitus. A cerebral arteriogram revealed a proximal left internal carotid artery occlusion of uncertain etiology after extensive testing. An MRI scan at the age of 45 years was normal. Neurological examination was normal. A carotid ultrasound study demonstrated complete occlusion of the left internal carotid artery and a normal right. Question.—What is the diagnosis?