Which condition may be indicated by photophobia alongside neck stiffness?

Photophobia, or sensitivity to light, in conjunction with neck stiffness is a classic presentation often associated with meningitis. This condition involves inflammation of the protective membranes covering the brain and spinal cord, leading to characteristic symptoms.

In meningitis, the inflammation can irritate the meninges, causing neck stiffness due to the meningeal irritation. Tension headaches may cause discomfort and occasionally sensitivity to light but do not typically present with neck stiffness. Sinusitis could cause headaches and facial pain but is not commonly linked with neck stiffness or photophobia. Tinnitus, which refers to ringing in the ears, does not relate to neck stiffness or photophobia and does not commonly suggest a neurological condition.

Therefore, the combination of photophobia and neck stiffness is a significant clinical indication for meningitis, making it the most appropriate choice among the options provided.