CC BY-NC-ND 4.0 · Annals of Otology and Neurotology 2019; 2(02): 56-58
DOI: 10.1055/s-0040-1703971
Original Article

Our Experience in Pulsatile Tinnitus and a Normal Tympanic Membrane in 66 Patients

1   Department of Ear, Nose, and Throat, University Limerick Hospitals, Limerick, Ireland
,
Mohammed A. Salem
1   Department of Ear, Nose, and Throat, University Limerick Hospitals, Limerick, Ireland
,
Colin O’Rourke
1   Department of Ear, Nose, and Throat, University Limerick Hospitals, Limerick, Ireland
,
John E. Fenton
1   Department of Ear, Nose, and Throat, University Limerick Hospitals, Limerick, Ireland
› Author Affiliations

Abstract

Introduction Pulsatile tinnitus (PT) can harbor potentially life-threatening conditions (LTCs), whereby a delay in diagnosis could be disastrous.

Objective The purpose of this study was to ascertain whether associated signs and symptoms at presentation could help identify a subgroup of high-risk patients.

Materials and Methods A total of 66 patients with PT were retrospectively assessed. The diagnoses were classified as group I with an LTC or not in group II.

Results There were 4 patients (6%) with a final diagnosis of LTC (group I) and 62 patients (94%) without a final diagnosis of LTC or no diagnosis (group II). The results were not quite statistically significant regarding the trauma and were strongly statistically significant regarding headache and the cranial nerve paralysis.

Conclusion The combination of PT with any of the three features of occipital headache, cranial nerve palsy, and recent trauma should alert the clinician to potentially serious causes.



Publication History

Article published online:
27 March 2020

© 2019. Indian Society of Otology. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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