27 y/o male of Mediteranean descent comes to your clinic complaining of headaches lasting 3 years, "worsening eyesight" not improved by eyeglasses, fatigue, problems with motivation, concentration. No change in appetite, no weight gain/loss. Vitals all normal. Headache is made better with exercise, some ataxia & blurry vision with heavy exercise. The patient also reports a "ringing in ears" lasting for over 3 years now. Pt was on Accutane for 2 weeks and stopped due to depression... that is when "ringing" began. Saw a family practice doc who did a full ENT exam which was unremarkable. The ringing in ears and headache has not gotten worse over the past 3 years... Whats up?