Jugular Paraganglioma and Bilateral Vestibular Schwannoma Presenting to an Acute Ophthalmology Service

A19-year-old woman presented with a 6-month history of right-sided parietal headache associated with nausea,vomiting, photophobia, and blurred vision. The headache was worse at night, improved after vomiting but gained no relief with oral analgesia. She did not complain of symptoms of oscillopsia and had no difficulty with reading. On examination, her Snellen visual acuity was 6/6 bilaterally unaided.There was no relative afferent papillary defect, and pupils were equal and reactive. She had full range of eye movements. Using Ishihara color vision testing, her right eye scored normal at 17/17 but her left eye was slightly reduced with a score of 13/17.