Thursday, May 17, 2012
A 30 year old man who had a recent motor vehicle accident where he sustained a basilar skull fracture, a humerus fracture, and multiple rib fractures, now presents with weird symptoms of "pulsating" over his right eye. In fact, you auscultate a bruit over his eye. He also has blurred and double vision, headache, and ocular pain. Examination shows some proptosis and chemosis of the eye. Extraocular movements are limited and there is some facial sensory loss.
Challenge: What's the diagnosis?
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