Blepharoptosis with intracranial murmur for 1 wk. A 58-year-old woman presented with ptosis of the left eyelid accompanied by pulsatile tinnitus. According to the patient's self-report, these symptoms suddenly appeared 1 wk previously and gradually worsened, resulting in limited vision and hearing discomfort. The patient was in good health before. She had no history of infectious disease, food or drug allergy, or surgery. She also denied having a history of head trauma or other related diseases, as well as diseases in other systems. The patient’s parents are both alive. During physical examination, there was right eye exophthalmos and ocular motor palsy. The remaining neurological examination was normal. No obvious abnormality was found. Magnetic resonance imaging revealed a right-sided aneurysm, with tortuous and increased vascular shadow in the posterior space of the right eye.