PDF herunterladen
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

Abdelrahman E. M. Ezzat 
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
› Institutsangaben
› Weitere Informationen
   Lizenzen und Reprints

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.

Keywords

cranial nerve - otology - pulsatile tinnitus


Publikationsverlauf

Artikel online veröffentlicht:
27. März 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/).

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India

 

  • References

  • 1 Langguth B, Kreuzer PM, Kleinjung T, De Ridder D. Tinnitus: causes and clinical management. Lancet Neurol 2013; 12 (09) 920-930
    CrossrefPubMedGoogle Scholar
  • 2 Liyanage SH, Singh A, Savundra P, Kalan A. Pulsatile tinnitus. J Laryngol Otol 2006; 120 (02) 93-97
    CrossrefPubMedGoogle Scholar
  • 3 Kircher ML, Standring RT, Leonetti JP. Neuroradiologic assessment of pulsatile tinnitus. Otolaryngol Head Neck Surg 2008; 139 (Suppl. 02) 144
    CrossrefGoogle Scholar
  • 4 Wasserman PG, Savargaonkar P. Paragangliomas: classification, pathology, and differential diagnosis. Otolaryngol Clin North Am 2001; 34 (05) 845-862
    CrossrefPubMedGoogle Scholar
  • 5 Mattox DE, Hudgins P. Algorithm for evaluation of pulsatile tinnitus. Acta Otolaryngol 2008; 128 (04) 427-431
    CrossrefPubMedGoogle Scholar
  • 6 Daneshi A, Hadizadeh H, Mahmoudian S, Sahebjam S, Jalesi A. Pulsatile tinnitus and carotid artery atherosclerosis. Int Tinnitus J 2004; 10 (02) 161-164
    PubMedGoogle Scholar
  • 7 Sismanis A, Stamm MA, Sobel M. Objective tinnitus in patients with atherosclerotic carotid artery disease. Am J Otol 1994; 15 (03) 404-407
    Google Scholar
  • 8 Engstrom H, Graf W. On objective tinnitus and its recording. Acta Otolaryngol Suppl 1950; 95: 127-137
    Google Scholar
  • 9 Herraiz C, Aparicio JM. Diagnostic clues in pulsatile tinnitus [article in Spanish]. Acta Otorrinolaringol Esp 2007; 58 (09) 426-433
    CrossrefPubMedGoogle Scholar
  • 10 Dietz RR, Davis WL, Harnsberger HR, Jacobs JM, Blatter DD. MR imaging and MR angiography in the evaluation of pulsatile tinnitus. AJNR Am J Neuroradiol 1994; 15 (05) 879-889
    PubMedGoogle Scholar
  • 11 Waldvogel D, Mattle HP, Sturzenegger M, Schroth G. Pulsatile tinnitus–a review of 84 patients. J Neurol 1998; 245 (03) 137-142
    CrossrefPubMedGoogle Scholar
  • 12 Sismanis A. Pulsatile tinnitus. Otolaryngol Clin North Am 2003; 36 (02) 389-402
    CrossrefPubMedGoogle Scholar
  • 13 Digre KB, Nakamoto BK, Warner JE, Langeberg WJ, Baggaley SK, Katz BJ. A comparison of idiopathic intracranial hypertension with and without papilledema. Headache 2009; 49 (02) 185-193
    CrossrefPubMedGoogle Scholar
  • 14 Friedman JA, Meyer FB, Nichols DA. et al. Fatal progression of posttraumatic dural arteriovenous fistulas refractory to multimodal therapy. Case report. J Neurosurg 2001; 94 (05) 831-835
    CrossrefPubMedGoogle Scholar
  • 15 Saeed SR, Hinton AE, Ramsden RT, Lye RH. Spontaneous dissection of the intrapetrous internal carotid artery. J Laryngol Otol 1990; 104 (06) 491-493
    CrossrefPubMedGoogle Scholar
  • 16 Baumgartner R, Bogousslavsky J. Clinical manifestations of carotid dissection. Front Neurol Neurosci 2005; 20: 70-76
    CrossrefPubMedGoogle Scholar
  • 17 Pons Y, Vérillaud B, Ukkola-Pons E, Sauvaget E, Kania R, Herman P. Pulsatile tinnitus and venous cerebral thrombosis: report of a case and literature review. Rev Laryngol Otol Rhinol (Bord) 2012; 133 (03) 163-164
    PubMedGoogle Scholar
  • 18 Sigari F, Blair E, Redleaf M. Headache with unilateral pulsatile tinnitus in women can signal dural sinus thrombosis. Ann Otol Rhinol Laryngol 2006; 115 (09) 686-689
    CrossrefPubMedGoogle Scholar
  • 19 Vanneste S, Joos K, De Ridder D. Prefrontal cortex based sex differences in tinnitus perception: same tinnitus intensity, same tinnitus distress, different mood. PLoS One 2012; 7 (02) e31182
    CrossrefPubMedGoogle Scholar
  • 20 Redekop GJ. Extracranial carotid and vertebral artery dissection: a review. Can J Neurol Sci 2008; 35 (02) 146-152
    CrossrefPubMedGoogle Scholar
  • 21 Kreuzer PM, Landgrebe M, Vielsmeier V, Kleinjung T, De Ridder D, Langguth B. Trauma-associated tinnitus. J Head Trauma Rehabil 2014; 29 (05) 432-442
    CrossrefPubMedGoogle Scholar
  • 22 Folmer RL, Griest SE. Chronic tinnitus resulting from head or neck injuries. Laryngoscope 2003; 113 (05) 821-827
    CrossrefPubMedGoogle Scholar
  • 23 Chae SW, Kang HJ, Lee HM, Hwang SJ. Tinnitus caused by traumatic posterior auricular artery–internal jugular vein fistula. J Laryngol Otol 2001; 115 (04) 313-315
    PubMedGoogle Scholar
  • 24 Park SY, Kim SC, Lee KS, Lee KJ. A case of the pulsatile tinnitus due to Post-traumatic arteriovenous fistula involving superficial temporal artery treated with percutaneous embolization. Korean J Otorhinolaryngol-Head Neck Surg 2000; 43 (06) 667-669
    Google Scholar
  • 25 Schievink WI, Mokri B, O’Fallon WM. Recurrent spontaneous cervical-artery dissection. N Engl J Med 1994; 330 (06) 393-397
    CrossrefPubMedGoogle Scholar
  • 26 Mondelli MFCG, Lopes AC. Relation between arterial hypertension and hearing loss. Int Arch Otorhinolaryngol 2009; 13 (01) 63-68
    Google Scholar