Hi ! Good morning. I am Dr Shareef answering your query. Possibly it is a pulsating artery, and not a vein. This could be due to arteriosclerosis (thickening of walls of arteries) which is a consistent finding along with hypertension. This pulsating vessel could be due to your existing hypertension, or due to any pathology in the vessel wall. If I were your doctor, I along with other routine investigations for hypertension like serum lipid profile, blood urea, serum creatinine, ESR and blood sugar, would also advise you for a Doppler ultrasound of the vessels involved to rule out any significant narrowing or dilatation (aneurysm) of the vessel which you feel to be pulsating. At the same time, I would also go for an ophthalmologic examination for you to rule out any affection of the eyes in some of such pathology. Further management would depend on the investigation reports and a physical examination by your family physician/treating doctor. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing health care magic to clear doubts on your health problems. Wishing you an early recovery. Dr Shareef.