Pulsatile tinnitus

Evidence-based neurology checklist on pulsatile tinnitus: Vascular causes Dural arteriovenous fistula (dAVF) Carotid-cavernous fistula Carotid-jugular fistula Superficial temporal artery arteriovenous fistula Cervical artery dissection Carotid atherosclerosis/stenosis Carotid fibromuscular…

Vascular causes

  • Dural arteriovenous fistula (dAVF)
  • Carotid-cavernous fistula
  • Carotid-jugular fistula
  • Superficial temporal artery arteriovenous fistula
  • Cervical artery dissection
  • Carotid atherosclerosis/stenosis
  • Carotid fibromuscular dysplasia
  • Cerebral vein thrombosis (CVT) of the marginal sinus
  • Arterial bruits: this is worse at night
  • Venous hums: especially with hypertension
  • Subclavian artery occlusion
  • Arteriovenous shunts: after head injury or surgery
  • Intracranial hypertension

Neoplastic causes

Predictors of vascular shunt aetiology

References

  1. Lehmann MF, Mounayer C, Benndorf G, Piotin M, Moret J. Pulsatile tinnitus: a symptom of chronic subclavian artery occlusion. Am J Neuroradiol 2005; 26:1960-1963.
  2. Crummer RW, Hassan GA. Diagnostic approach to tinnitus. Am Fam Physician 2004; 69:120-126.
  3. Sismanis A, Smoker WR. Pulsatile tinnitus: recent advances in diagnosis. Laryngoscope 1994; 104:681-688.
  4. Chen YJ, How CK, Chern CH. Cerebral dural arteriovenous fistulas presenting as pulsatile tinnitus. Intern Med 2007; 37:503.
  5. Park IH, Kang HJ, Suh SI, Chae SW. Dural arteriovenous fistula presenting a subjective pulsatile tinnitus. Arch Otolaryngol Head Neck Surg 2006; 132:1148-1150.
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