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Pulsatile tinnitus. A 15-year experience.
Am J Otol. 1998 Jul; 19(4):472-7.AJ

Abstract

PURPOSE

This study aimed to report the author's 15-year experience with the systematic evaluation and treatment of patients with pulsatile tinnitus.

METHODS

Between August 1981 and August 1996, 145 patients with pulsatile tinnitus were evaluated. The diagnostic protocol was individualized according to the clinical findings and included appropriate radiologic testing, ultrasonography studies, and lumbar puncture with cerebrospinal fluid pressure measurement. Treatment was directed toward the etiology of the tinnitus.

RESULTS

Benign intracranial hypertension syndrome (pseudotumor cerebri) was the most common diagnosis (56 patients), followed by atherosclerotic carotid artery disease (24 patients) and glomus tumors (17 patients). In 13 patients, no specific diagnosis could be reached.

CONCLUSIONS

Thorough history and physical examination are the two most important factors in evaluating patients with pulsatile tinnitus. Evaluation should be individualized and may include radiologic testing, ultrasonography studies, and lumbar puncture with cerebrospinal fluid pressure measurements. The majority of patients have a treatable underlying etiology.

Authors+Show Affiliations

Department of Otolaryngology-Head and Neck Surgery, Medical College of Virginia/Virginia Commonwealth University, Richmond 23298-0146, USA.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

9661757

Citation

Sismanis, A. "Pulsatile Tinnitus. a 15-year Experience." The American Journal of Otology, vol. 19, no. 4, 1998, pp. 472-7.
Sismanis A. Pulsatile tinnitus. A 15-year experience. Am J Otol. 1998;19(4):472-7.
Sismanis, A. (1998). Pulsatile tinnitus. A 15-year experience. The American Journal of Otology, 19(4), 472-7.
Sismanis A. Pulsatile Tinnitus. a 15-year Experience. Am J Otol. 1998;19(4):472-7. PubMed PMID: 9661757.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Pulsatile tinnitus. A 15-year experience. A1 - Sismanis,A, PY - 1998/7/14/pubmed PY - 1998/7/14/medline PY - 1998/7/14/entrez SP - 472 EP - 7 JF - The American journal of otology JO - Am J Otol VL - 19 IS - 4 N2 - PURPOSE: This study aimed to report the author's 15-year experience with the systematic evaluation and treatment of patients with pulsatile tinnitus. METHODS: Between August 1981 and August 1996, 145 patients with pulsatile tinnitus were evaluated. The diagnostic protocol was individualized according to the clinical findings and included appropriate radiologic testing, ultrasonography studies, and lumbar puncture with cerebrospinal fluid pressure measurement. Treatment was directed toward the etiology of the tinnitus. RESULTS: Benign intracranial hypertension syndrome (pseudotumor cerebri) was the most common diagnosis (56 patients), followed by atherosclerotic carotid artery disease (24 patients) and glomus tumors (17 patients). In 13 patients, no specific diagnosis could be reached. CONCLUSIONS: Thorough history and physical examination are the two most important factors in evaluating patients with pulsatile tinnitus. Evaluation should be individualized and may include radiologic testing, ultrasonography studies, and lumbar puncture with cerebrospinal fluid pressure measurements. The majority of patients have a treatable underlying etiology. SN - 0192-9763 UR - https://www.unboundmedicine.com/medline/citation/9661757/Pulsatile_tinnitus__A_15_year_experience_ L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=linkout&SEARCH=9661757.ui DB - PRIME DP - Unbound Medicine ER -