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Assessment and management of pulsatile tinnitus
Yousef Hyder1, Richard Irving2, Satheesh Ramalingam3
1Department of Neurology, University Hospital Birmingham, Queen Elizabeth Hospital Birmingham, Mindelsohn Way, Birmingham, UK.
Practical Neurology
|December 24, 2025
Summary
Pulsatile tinnitus involves hearing rhythmic sounds, which can be objective or subjective. Understanding this condition is crucial for neurologists to diagnose potential neurological or neurovascular issues.
Area of Science:
- Neurology
- Otolaryngology
- Vascular Medicine
Background:
- Pulsatile tinnitus is characterized by rhythmic sounds synchronous or asynchronous with the pulse.
- It can be objective (audible to clinicians) or subjective (patient-perceived).
- Often linked to heightened awareness of vascular flow within or near the ear.
Purpose of the Study:
- To emphasize the importance of understanding pulsatile tinnitus for neurologists.
- To highlight its potential as an indicator of neurological or neurovascular conditions.
- To provide a concise overview of pulsatile tinnitus characteristics.
Main Methods:
- Literature review on pulsatile tinnitus.
- Clinical case analysis (implied).
- Diagnostic criteria exploration.
Main Results:
- Pulsatile tinnitus presents as throbbing, beating, or whooshing sounds.
- Distinction between objective and subjective tinnitus is clinically relevant.
- Association with specific neurological and neurovascular diagnoses is noted.
Conclusions:
- Neurological and neurovascular conditions can manifest as pulsatile tinnitus.
- Auscultation is key in differentiating objective from subjective forms.
- Awareness of pulsatile tinnitus aids in timely diagnosis and management.
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