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SDHAF2 mutation contributes to the rare paraganglioma syndrome 2. The writers provide the case of a 15-year-old male patient with 2, non-secretory HNPGLs, presenting with left-sided, pulsatile tinnitus, and reading loss. Imaging led to the suspicion of a jugulotympanic paraganglioma on the left, along with a carotid body tumor on the right. After resection of