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Pulsatile tinnitus.

C A Sila, A J Furlan, J R Little

    Stroke
    |January 1, 1987
    PubMed
    Summary
    This summary is machine-generated.

    Pulsatile tinnitus, often linked to vascular issues, can be objective or subjective. Angiography is recommended for diagnosis, with specific methods for each type, aiding in identifying various underlying vascular abnormalities.

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    Area of Science:

    • Neurology
    • Vascular Medicine
    • Otolaryngology

    Background:

    • Pulse-synchronous tinnitus suggests a vascular origin and is considered rare in otologic literature.
    • Pulsatile tinnitus presents as either objective (audible to examiner) or subjective (audible only to patient).

    Purpose of the Study:

    • To evaluate the causes and diagnostic approaches for patients presenting with pulsatile tinnitus.
    • To correlate angiographic findings with the type of pulsatile tinnitus observed.

    Main Methods:

    • Retrospective evaluation of 20 patients with pulsatile tinnitus between 1978 and 1985.
    • Categorization of tinnitus as objective (14 patients) or subjective (6 patients).
    • Review of angiographic findings, including intra-arterial digital subtraction angiography, conventional angiography, and intravenous digital subtraction angiography.

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    Main Results:

    • Objective pulsatile tinnitus was associated with arteriovenous malformations, carotid artery occlusive disease, panarterial ectasia, and venous sinus thrombosis.
    • Subjective pulsatile tinnitus cases often had normal evaluations, but potential causes included carotid occlusion and pseudotumor cerebri.
    • Specific angiography techniques were recommended based on tinnitus type.

    Conclusions:

    • Pulsatile tinnitus is an uncommon symptom with diverse underlying causes, frequently vascular.
    • Intra-arterial or conventional angiography is advised for objective pulsatile tinnitus.
    • Intravenous digital subtraction angiography is recommended for subjective pulsatile tinnitus; increased intracranial pressure should also be considered.