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Pulsatile Exophthalmos on Physical Exam - Protrusion and Pulsation of the eyeball The differential diagnosis of pulsatile proptosis includes absence of the sphenoid wing in patients with neurofibromatosis, carotid-cavernous fistula, orbital roof fractures and arteriovenous malformations. - Dr. Thanos D. Papakostas #Pulsatile #Exophthalmos #PhysicalExam #clinical #video #ocular #ophthalmology #proptosis