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Imaging of Pulsatile Tinnitus.

Suehyb G Alkhatib1, Sandeep Kandregula1, Kelley Flesher1

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Pulsatile tinnitus, a heartbeat-like sound, can significantly impact quality of life. Early diagnosis through imaging and clinical evaluation is crucial for effective management and potential cure.

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Area of Science:

  • Radiology
  • Otolaryngology
  • Neurology

Background:

  • Tinnitus affects most adults, with pulsatile tinnitus raising concerns for underlying disease.
  • Pulsatile tinnitus, a heartbeat-like sound, can be debilitating, affecting cognition and mental health.

Purpose of the Study:

  • To provide a comprehensive review of pulsatile tinnitus literature.
  • To focus on pathophysiologic mechanisms, diagnostic pathways, imaging, and management.
  • To propose a framework for diagnosis and management.

Main Methods:

  • Narrative review of current literature.
  • Analysis of diagnostic pathways, including history, physical examination, and imaging.
  • Review of emerging surgical, endovascular, and supportive treatment options.

Main Results:

  • Pulsatile tinnitus often has subtle but significant imaging findings.
  • Improved imaging techniques enhance diagnostic accuracy.
  • Novel treatments offer potential for cure or symptom amelioration.

Conclusions:

  • Accurate diagnosis of pulsatile tinnitus requires careful clinical evaluation and appropriate imaging.
  • A structured framework can aid clinicians in managing pulsatile tinnitus.
  • The majority of patients can achieve symptom relief or cure with current and emerging strategies.