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Algorithm for evaluation of pulsatile tinnitus.
Acta Otolaryngol. 2008 Apr; 128(4):427-31.AO

Abstract

CONCLUSIONS

Pulsatile tinnitus requires a careful physical examination and evaluation with selected imaging techniques to identify the origin of the symptoms.

OBJECTIVE

To evaluate the incidence of identifiable anomalies in patients with pulsatile tinnitus.

SUBJECTS AND METHODS

This was a retrospective chart review undertaken in a tertiary care center. Patients seen in the outpatient otolaryngology clinic with the chief complaint of pulsatile tinnitus were evaluated by physical examination and imaging including CT angiography. The outcome measure was the incidence of identifiable abnormalities on imaging studies.

RESULTS

Fifty-four patients were seen between January 2002 and June 2007 with the chief complaint of constant pulsatile tinnitus, excluding those with chemodectomas. On the basis of physical examination and imaging, 14 were considered arterial, 23 venous, and 15 were indeterminate in origin. Among patients with venous tinnitus, sigmoid sinus diverticulum was the most common finding. Among patients with arterial tinnitus, carotid atherosclerotic disease was the most common. One patient had erosion of the cochlea by the carotid artery. Non-vascular entities identified include superior semicircular canal dehiscence and benign intracranial hypertension.

Authors+Show Affiliations

Department of Otolaryngology - Head & Neck Surgery, Emory University School of Medicine, Atlanta, GA 30322, USA. douglas.mattox@emory.eduNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

18368578

Citation

Mattox, Douglas E., and Patricia Hudgins. "Algorithm for Evaluation of Pulsatile Tinnitus." Acta Oto-laryngologica, vol. 128, no. 4, 2008, pp. 427-31.
Mattox DE, Hudgins P. Algorithm for evaluation of pulsatile tinnitus. Acta Otolaryngol. 2008;128(4):427-31.
Mattox, D. E., & Hudgins, P. (2008). Algorithm for evaluation of pulsatile tinnitus. Acta Oto-laryngologica, 128(4), 427-31. https://doi.org/10.1080/00016480701840106
Mattox DE, Hudgins P. Algorithm for Evaluation of Pulsatile Tinnitus. Acta Otolaryngol. 2008;128(4):427-31. PubMed PMID: 18368578.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Algorithm for evaluation of pulsatile tinnitus. AU - Mattox,Douglas E, AU - Hudgins,Patricia, PY - 2008/3/28/pubmed PY - 2008/8/30/medline PY - 2008/3/28/entrez SP - 427 EP - 31 JF - Acta oto-laryngologica JO - Acta Otolaryngol VL - 128 IS - 4 N2 - CONCLUSIONS: Pulsatile tinnitus requires a careful physical examination and evaluation with selected imaging techniques to identify the origin of the symptoms. OBJECTIVE: To evaluate the incidence of identifiable anomalies in patients with pulsatile tinnitus. SUBJECTS AND METHODS: This was a retrospective chart review undertaken in a tertiary care center. Patients seen in the outpatient otolaryngology clinic with the chief complaint of pulsatile tinnitus were evaluated by physical examination and imaging including CT angiography. The outcome measure was the incidence of identifiable abnormalities on imaging studies. RESULTS: Fifty-four patients were seen between January 2002 and June 2007 with the chief complaint of constant pulsatile tinnitus, excluding those with chemodectomas. On the basis of physical examination and imaging, 14 were considered arterial, 23 venous, and 15 were indeterminate in origin. Among patients with venous tinnitus, sigmoid sinus diverticulum was the most common finding. Among patients with arterial tinnitus, carotid atherosclerotic disease was the most common. One patient had erosion of the cochlea by the carotid artery. Non-vascular entities identified include superior semicircular canal dehiscence and benign intracranial hypertension. SN - 0001-6489 UR - https://www.unboundmedicine.com/medline/citation/18368578/Algorithm_for_evaluation_of_pulsatile_tinnitus_ L2 - https://www.tandfonline.com/doi/full/10.1080/00016480701840106 DB - PRIME DP - Unbound Medicine ER -