[A male with a pulsating ear drum]. / Een man met een kloppend trommelvlies.

A 28-year-old male presented with non-pulsatile tinnitus, rightsided hearing loss and an ipsilateral pulsating ear drum. A CT-scan revealed an aberrant internal carotid artery in the middle ear. This is an uncommon finding. Recognition of this birth analomy is important since ear manipulation or surgery can lead to life-threatening complications.