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Such involvement can lead to pulsatile tinnitus, progressive hearing loss, significant otorrhagia via the eustachiantube, and/or vertigo, hyperacusis, and eustachian tube dysfunction.
9) It has been proposed that the triad of epistaxis, otorrhagia, and focal neurologic defects is characteristic of a ruptured petrous ICA aneurysm.
Ruptured petrous carotid aneurysm presenting with otorrhagia and epistaxis.