Unique Case of Pulsatile Tinnitus

Harris, Jeffrey P.; Horlbeck, Drew M.; Brew, Kristen Hepler

doi:10.1177/000348940010901203

Cited by 3 publications

(3 citation statements)

References 34 publications

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“…5 In another study tinnitus was transient in 10 patients, disappearing in 24.h to four months. 17 We, like others, 4,5 used anticoagulant treatment in most cases (14/16), one received acetylsalicylic acid and one underwent ligation of the ICA because of a pseudoaneurysm. Contrary to Ast et al, 20 none of our patients developed cerebral embolic events or worsening of the neurological condition after the start of treatment.…”

Section: Discussionmentioning

confidence: 90%

“…28 MRI with MR angiography has gained popularity and is now the rst-line imaging investigation for both cerviococephalic artery dissection and pulsatile tinnitus in many institutions. 1,4 Despite the advantages of MRI it is not readily available. In this subgroup of patients angiography has proved safe, and no worsening of symptoms has occurred during angiography at our institution.…”

Section: Discussionmentioning

confidence: 99%

“…2 In one study spontaneous ICAD caused pulsatile tinnitus in ve of 84 patients, 3 whereas in another study none of the 100 patients with pulsatile tinnitus had ICAD. 1 Recently, unique cases have been reported [4][5][6] but no studies have focused speci cally on the relationship between cervicocephalic arterial dissection and tinnitus, characterizing the prevalence, time course, the ratio of ICAD and vertebal artery dissections (VAD) or patient outcome. Our group has previously reported angiographic ndings of extracranial and intracranial arterial dissections.…”

Section: Introductionmentioning

confidence: 99%

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Pulsatile tinnitus as a symptom of cervicocephalic arterial dissection

et al. 2004

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The aim of this study was to investigate pulsatile tinnitus as a presenting symptom in cervicocephalic arterial dissection (CCAD). Of the 136 consecutive patients with confirmed CCAD, 16 presented with pulsatile tinnitus. On admission 10 patients presented with subjective tinnitus and five with objective tinnitus, tinnitus being the only presenting symptom in one case. In one further case with bilateral ICA dissection (ICAD) subjective tinnitus appeared three months after the initial symptoms of arterial dissection, despite a contralateral cervical bruit being evident on admission. Thirteen patients presented with headache or neck pain. Ischaemic symptoms were detected in six and Horner's syndrome in four patients. Vertigo and dysgeusia were reported in two patients each. Arterial dissection involved unilateral ICA in 11, bilateral ICA in two, unilateral vertebral artery (VA) in two and bilateral ICA and bilateral VA in one patient. In angiography the most common finding was irregular stenosis, and the majority of these abnormalities normalized during follow-up. To avoid delay in diagnosis a high index of suspicion and early angiography (digital subtraction or magnetic resonance angiography) are warranted.

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