The genesis of the cervical venous hum

Symptomatic Jugular Megabulb Deformity and Contralateral Meniere's Disease: A Misleading Coexistence— A Case History

“…1,6 Quite interestingly Cutforth has found 57% of normal objects to have a venous neck hum. 15 A global pulsatile tinnitus associated with vertigo and hearing loss on one side, as appeared in our case, needs special attention for investigation, since it might have been misdiagnosed simply as Meniere's disease, as also reported by Buckwalter.&dquo; This unusual coincidence of megajugular bulb and labyrinthine disease is enough to emphasize the value of full angiographic evaluation of head and neck, especially in patients with Meniere's disease who do not benefit from medical treatment. Reluctance to proceed with angiography cannot be justified with improving low-risk techniques.…”

Ligation of the internal jugular vein in venous hum tinnitus

“…Rarely it may be a clue to an intracranial venous malformation (Hardison, 1968). Cutforth et al (1970) found an asymptomatic cervical venous hum in 57 per cent of normal subjects. However, occurrence of unilateral objective tinnitus exhibiting clinical characteristics attributable to the internal jugular vein remains an enigma.…”

Venous Hum Tinnitus

“…Normal blood flow is laminar and therefore silent. However, turbulence in the flow will lead to vibration of the walls of vessels and thereby produce sound [3]. An audible hum in the lower neck of venous origin is heard in the majority of normal children.…”