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Pulsatile tinnitus

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https://www.readbyqxmd.com/read/29456955/increased-atherosclerosis-correlates-with-subjective-tinnitus-severity
#1
Fatih Yüksel, Duran Karataş, Figen Tunalı Türkdoğan, Özlem Yüksel
The aim of the present study was to investigate whether increased intima media thickness was associated with the severity of subjective non-pulsatile tinnitus and hearing loss. Data of the patients who came to Otorhinolaryngology Department of Isparta Government Hospital with subjective non-pulsatile tinnitus complaint, between January 2012 and June 2013, were evaluated retrospectively. A total of 215 patients were included in the present study. Hearing tests, biochemical analysis, tinnitus handicap inventory (THI), visual analogue scale (VAS) and doppler ultrasonography results of the patients were reviewed and recorded...
March 2018: Indian Journal of Otolaryngology and Head and Neck Surgery
https://www.readbyqxmd.com/read/29437736/vertebro-vertebral-fistula-presenting-as-a-pulsatile-tinnitus
#2
Miguel Sá Breda, José Amorim, Jaime Rocha, Luis Dias
Tinnitus is the perception of sound in the absence of a corresponding external acoustic stimulus, resulting in an estimated prevalence of 10% to 15% in adults. Tinnitus may be classified as pulsatile (PT) or continuous (non-PT), and may be subjective (heard only by the patient) or objective (also audible to the examiner). PT is usually related to vascular causes and is pulse synchronous (coinciding with the patient's heartbeat). PT is much less common affecting approximately 4% of patients with tinnitus, but unlike non-PT, usually has a specific identifiable cause...
February 5, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29417173/cta-v-detection-of-bilateral-sigmoid-sinus-dehiscence-and-suspected-idiopathic-intracranial-hypertension-in-unilateral-pulsatile-tinnitus
#3
Shuaishuai Xu, Shidong Ruan, Shanfeng Liu, Jianrong Xu, Ruozhen Gong
PURPOSE: This aimed to evaluate the prevalence and extent of bilateral sigmoid sinus dehiscence (SSD) and to explore the presence of idiopathic intracranial hypertension (IIH) in patients with unilateral pulsatile tinnitus (PT) with CTA/V. METHODS: Sixty PT patients (52 females; 40.4 ± 11.6 years [20-72]) who underwent CTA/V and 30 non-PT patients (27 females; 38.4 ± 14.7 years [12-62]) were enrolled in this study. The primary outcome measure was the radiographic presence of SSD...
February 7, 2018: Neuroradiology
https://www.readbyqxmd.com/read/29387629/tentorial-dural-arteriovenous-fistulas-a-single-center-cohort-of-12-patients
#4
H G Kortman, I Boukrab, G Bloemsma, J P Peluso, M Sluzewski, B van der Pol, G N Beute, C B Majoie, W J van Rooij
Objective: Tentorial dural arteriovenous fistulas usually drain into cortical veins and often present with hemorrhage. Treatment goal is occlusion of the draining vein, either by surgery or endovascular techniques. We present the multimodality treatment results of 12 patients with tentorial dural arteriovenous fistulas. Materials and Methods: Between January 2007 and January 2017, 12 consecutive patients with tentorial dural arteriovenous fistulas were treated. There were 11 men and 1 woman with a mean age of 62 years (range 44-85)...
December 2017: Journal of Cerebrovascular and Endovascular Neurosurgery
https://www.readbyqxmd.com/read/29387318/acupuncture-for-chronic-nonpulsatile-tinnitus-a-randomized-clinical-trial
#5
Bahram Naderinabi, Soheil Soltanipour, Shadman Nemati, Alia Saberi, Sepideh Parastesh
Background: There is challenge to find an effective treatment for tinnitus. Few studies were done on the effects of acupuncture on tinnitus. This study evaluated the effect of acupuncture on chronic non-pulsatile tinnitus. Methods: This randomized double-blind clinical trial was conducted from December 2014 to September 2015 . Patients suffering from chronic non-pulsatile tinnitus were randomly allocated into two groups: acupuncture vs. placebo. They were treated in 15 sessions and at the end of the fifteenth sessions and 3 weeks after completion of the treatment, visual analog scale (VAS) for tinnitus loudness and tinnitus severity index (TSI) questionnaires were completed...
2018: Caspian Journal of Internal Medicine
https://www.readbyqxmd.com/read/29383310/total-endoscopic-approach-in-glomus-tympanicum-surgery
#6
Ahmad Daneshi, Alimohamad Asghari, Saleh Mohebbi, Mohammad Farhadi, Farhad Farahani, Mohammad Mohseni
Introduction: Glomus tympanicum (GT) is a benign primary tumor of the middle ear. The evolution of endoscopic ear surgery has allowed for an alternative approach to managing this vascular tumor. The purpose of this study was to evaluate an endoscopic approach in GT surgery, and also to investigate its applicability and feasibility. Materials and Methods: Prospectively, 13 class I and II patients, according to the Glasscock-Jackson glomus classification, were candidates for management via a transcanal endoscopic approach...
November 2017: Iranian Journal of Otorhinolaryngology
https://www.readbyqxmd.com/read/29360096/simultaneous-contralateral-vestibular-schwannoma-and-middle-ear-paraganglioma-tumor
#7
Edoardo Covelli, Guido Trasimeni, Chiara Filippi, Valerio Fabiani, Simonetta Monini, Luigi Volpini, Maurizio Barbara
To the best of our knowledge, only 2 cases of a simultaneous contralateral vestibular schwannoma (VS) and middle ear paraganglioma (MEP) have previously been reported in literature. We report the third case observed in a 43-year-old male, who presented with an 11-year history of right-sided hearing loss and a 1-year history of left-sided pulsatile tinnitus. A magnetic resonance imaging (MRI) showed a VS on the right side and computer tomography (CT) identified a Fisch type A1 paraganglioma on the left side...
December 2017: Journal of International Advanced Otology
https://www.readbyqxmd.com/read/29350238/-female-patient-with-pulsatile-tinnitus
#8
F Biber, C H Nolte, A E Albers
No abstract text is available yet for this article.
January 19, 2018: HNO
https://www.readbyqxmd.com/read/29341947/spontaneous-direct-carotid-cavernous-fistula-in-an-elderly-patient
#9
Stanimir S Sirakov, Borislav D Kitov, Kristina S Sirakova, Ivo I Kehayov
We describe the case of an 83-year-old woman with left-sided ophthalmoplegia. She had no family history of connective tissue disease. The computed tomography study found a dilated left cavernous sinus. The conventional cerebral panangiography confirmed the diagnosis - a direct carotid-cavernous fistula (CCF), with no evidence of ruptured aneurysm. The woman underwent endovascular treatment with coiling of the cavernous sinus in combination with application of the Onyx embolic agent in the fistula. During the first 48 hours after the embolization the local pain, exophthalmos and conjunctival injection of the left eye were significantly ameliorated...
December 20, 2017: Folia Medica
https://www.readbyqxmd.com/read/29336902/surgical-management-of-pulsatile-tinnitus-secondary-to-jugular-bulb-or-sigmoid-sinus-diverticulum-with-review-of-literature
#10
W X Yeo, S H Xu, T Y Tan, Y M Low, H W Yuen
INTRODUCTION: Jugular bulb and sigmoid sinus anomalies are well-known causes of vascular pulsatile tinnitus. Common anomalies reported in the literature include high-riding and/or dehiscent jugular bulb, and sigmoid sinus dehiscence. However, cases of pulsatile tinnitus due to diverticulosis of the jugular bulb or sigmoid sinus are less commonly encountered, with the best management option yet to be established. In particular, reports on surgical management of pulsatile tinnitus caused by jugular bulb diverticulum have been lacking in the literature...
December 29, 2017: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/29336898/effect-of-transcranial-direct-current-stimulation-on-short-term-and-long-term-treatment-of-chronic-tinnitus
#11
Hamidreza Abtahi, Ahmadreza Okhovvat, Somaiie Heidari, Azar Gharagazarloo, Motahare Mirdamadi, Mohammad Hossein Nilforoush, Hossein Ghazavi
OBJECTIVE: This study was conducted to investigate the effectiveness of anodal and cathodal methods in reducing the intensity of tinnitus and to compare them with the control. METHODOLOGY: This randomized double-blind clinical trial with case and control groups was conducted in Al-Zahra Hospital in Isfahan between 2015 and 2016. In this trial, 51 patients with tinnitus, for at least one year, were selected among those outpatients visiting the throat, nose and ear clinic within this period...
January 6, 2018: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/29313443/effectiveness-of-transmastoid-plugging-for-semicircular-canal-dehiscence-syndrome
#12
Renee M Banakis Hartl, Stephen P Cass
Objectives (1) Evaluate changes in subjective symptoms in patients following transmastoid canal plugging for superior semicircular canal dehiscence (SSCD) syndrome. (2) Quantify changes in hearing in patients who have undergone transmastoid canal plugging for SSCD syndrome. Study Design Case series with chart review. Setting Single tertiary care institution. Subjects and Methods We retrospectively reviewed patients with SSCD who underwent repair with canal plugging via a transmastoid approach between January 2012 and January 2017...
January 1, 2018: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/29283099/radiological-evaluation-of-inner-ear-with-computed-tomography-in-patients-with-unilateral-non-pulsatile-tinnitus
#13
Emre Ocak, Deniz Kocaöz, Baran Acar, Selma Uysal Ramadan, Melih Topçuoğlu
OBJECTIVE: The objective of this research was to investigate the possible relationship between tinnitus and certain bony inner ear structures using computed tomography (CT). MATERIALS AND METHODS: This was a prospective, controlled, double-blind study. The subjects of the study were divided into the following three groups: group 1 (G1), patients with unilateral sensorineural hearing loss (SNHL) and unilateral non-pulsatile tinnitus in the same ear; group 2 (G2), patients with normal hearing and unilateral non-pulsatile tinnitus; and group 3 (G3), healthy volunteers with neither tinnitus nor hearing loss...
December 14, 2017: Journal of International Advanced Otology
https://www.readbyqxmd.com/read/29260274/spontaneous-regression-of-an-idiopathic-arteriovenous-fistula-of-the-right-vertebral-artery
#14
Omar Choudhri, Mircea C Dobre, Abdullah Feroze, Nikhil Sharma, Huy M Do
A previously healthy 53-year-old male presented with a 2-month history of pulsatile tinnitus, worsening headaches, and neck pain. Given the clinical symptoms, a workup was initiated to assess for a vascular etiology such as a dural arteriovenous fistula.
December 19, 2017: Neuroradiology
https://www.readbyqxmd.com/read/29243076/pta-stent-of-dural-sinuses-in-brain-davf-a%C3%A2-report-of-4-cases
#15
Leonardo Renieri, Caterina Michelozzi, Waleed Brinjikji, Jean Darcout, Adrien Guenego, Ivan Vukasinovic, Philippe Tall, Fabrice Bonneville, Anne-Christine Januel, Christophe Cognard
BACKGROUND AND PURPOSE: Type I and IIa dural arteriovenous fistulas (DAVFs) have a low hemorrhagic risk, but are often the cause of debilitating tinnitus that requires treatment. While Onyx® and PHIL™ (Precipitating hydrophobic injectable liquid) transarterial embolization represent the first endovascular option, there are occasional cases where performing angioplasty and stenting of the affected sinus may lead to satisfactory results. MATERIAL AND METHODS: We retrospectively analyzed four consecutive cases of patients with DAVF-induced pulsatile tinnitus secondary to type I and II DAVFs who were treated with angioplasty and stenting of the sinus only...
December 14, 2017: Clinical Neuroradiology
https://www.readbyqxmd.com/read/29204306/facial-palsy-after-embolization-of-dural-arteriovenous-fistula-a-case-report-and-literature-review
#16
Luana Antunes Maranha Gatto, Fernando Saurin, Gelson Luis Koppe, Zeferino Demartini
Background: Dural arteriovenous fistulas (DAVF) are unusual intracranial vascular malformations consisting of anomalous connections between meningeal arteries and dural sinuses or the veins that pass through them. They have variable clinical presentation and prognosis, which depend on their location and venous hemodynamics. Treatment is based on the closure of the abnormal connections, which is usually conducted via arterial and/or transvenous endovascular techniques. Case Description: We present a male patient who complained of headaches and left-sided pulsatile tinnitus due to DAVF from the external carotid artery branches draining directly into the ipsilateral sigmoid sinus...
2017: Surgical Neurology International
https://www.readbyqxmd.com/read/29194225/hearing-outcomes-after-stereotactic-radiosurgery-for-jugular-paraganglioma
#17
Neil S Patel, Michael J Link, Colin L W Driscoll, Bruce E Pollock, Christine M Lohse, Matthew L Carlson
OBJECTIVE: To describe audiometric outcomes following stereotactic radiosurgery (SRS) for jugular paraganglioma (JP). STUDY DESIGN: Retrospective review. SETTING: Tertiary referral center. PATIENTS: Patients with pretreatment serviceable hearing (American Academy of Otolaryngology-Head and Neck Surgery [AAO-HNS] Class A or B) and serial post-SRS audiometric follow-up who underwent Gamma Knife SRS for JP between 1990 and 2017...
November 30, 2017: Otology & Neurotology
https://www.readbyqxmd.com/read/29183894/dying-art-of-a-history-and-physical-pulsatile-tinnitus
#18
Jonathan Lee, Zoltan Fekete
Modern medicine often leaves the history and physical by the wayside. Physicians instead skip directly to diagnostic modalities like MRI and angiography. In this case report, we discuss a patient who presented with migraine symptoms. Auscultation revealed signs of pulsatile tinnitus. Further imaging concluded that it was secondary to a type I dural arteriovenous fistula. Thanks to a proper and thorough history and physical, the patient was streamlined into an accurate and efficient work-up leading to symptomatic relief and quality of life improvement...
November 27, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/29170838/embolization-of-a-traumatic-arteriovenous-fistula-between-the-middle-meningeal-artery-and-middle-meningeal-vein-in-a-child-with-pulsatile-tinnitus
#19
Mesha Martinez, Paola Pergami, Jonathan Murnick, Monica S Pearl
Traumatic arteriovenous fistulas (AVFs) involving the middle meningeal artery (MMA) are uncommon lesions and rare in the pediatric population. An adolescent with headaches developed a bruit and a rhythmic "swooshing" noise in the left ear 9 weeks after a traumatic brain injury involving a left temporal bone fracture. An MRA of the brain demonstrated an enlarged left MMA and arterialized flow in the left middle meningeal vein (MMV), suggestive of an AVF. Cerebral angiography confirmed and characterized the left MMA-MMV fistula, which drained into the pterygoid plexus...
November 23, 2017: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
https://www.readbyqxmd.com/read/29135862/management-of-sigmoid-sinus-associated-pulsatile-tinnitus-a-systematic-review-of-the-literature
#20
Alan C Wang, Avery N Nelson, Cassandra Pino, Peter F Svider, Robert S Hong, Eleanor Chan
OBJECTIVES: Although studies demonstrate 4 to 20% of patients with pulsatile tinnitus (PT) have associated sigmoid sinus anomalies, no consensus exists regarding optimal management. Our objective was to perform a systematic review exploring surgical and endovascular intervention of PT caused by sigmoid sinus anomalies. DATA SOURCES/EXTRACTION: A systematic review was performed using the Preferred Reporting Systems for Systematic Reviews and Meta-Analysis guidelines for reporting of results, with a target population encompassing patients with PT and either sigmoid sinus diverticulum or sigmoid wall dehiscence...
December 2017: Otology & Neurotology
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