Imaging of pulsatile tinnitus: a review of 74 patients

Sönmez, Güner; Başekim, C. Çınar; Öztürk, Ersin; Güngör, Atila; Kızılkaya, Eşref

doi:10.1016/j.clinimag.2006.12.024

Cited by 118 publications

(92 citation statements)

References 12 publications

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“…They also suggested that selective carotid angiography is not indicated unless tinnitus is objective, auscultation of the head and neck reveals a bruit, presence of an arteriovenous malformations (AVM), an arteriovenous fistula (AVF) or fibromuscular dysplasia, or the patient is a candidate for glomus tumor surgery [9,[14][15][16]. US studies and radiographic examinations are of utmost importance in patients with pulsatile tinnitus [8,14,17]. Daneshi et al [18] found atherosclerosis of the carotid artery as the cause of pulsatile tinnitus using color Doppler evaluation in 11.76 % of the patients.…”

Section: Discussionmentioning

confidence: 99%

Carotid Doppler Ultrasound Evaluation in Patients with Pulsatile Tinnitus

Terzi

Arslanoğlu

Demiray

et al. 2014

Indian J Otolaryngol Head Neck Surg

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A wide range of conditions, including atherosclerosis, may lead to pulsatile tinnitus. The objective of this study was to evaluate the patients with pulsatile tinnitus by means of carotid Doppler ultrasound parameters. Thirty-four patients with pulsatile tinnitus were enrolled in the study. Internal carotid artery intima-media thickness (IMT), blood flow velocities and arterial lumen diameters (LD) were measured and compared with the control group. Mean end diastolic velocity (EDV) (32.29 ± 17.22) and IMT (1.06 ± 0.36) values were significantly higher and mean LD (6.69 ± 1.20) was significantly lower compared to the control group. Peak systolic velocity and EDV values were significantly higher in patients whose IMT were greater than 1 mm. Pulsatile tinnitus may be the first symptom of a severe, life threatening disease. Doppler sonography is a noninvasive, safe and easily applicable diagnostic tool for the evaluation of the vascular structures, in patients with pulsatile tinnitus.

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Section: Discussionmentioning

confidence: 99%

Carotid Doppler Ultrasound Evaluation in Patients with Pulsatile Tinnitus

Terzi

Arslanoğlu

Demiray

et al. 2014

Indian J Otolaryngol Head Neck Surg

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“…[1][2][3][4][5] Its causes are predominantly vascular, either arterial or, more commonly, venous. [5][6][7][8][9] An extensive literature on imaging in PT describes a wide variation in the incidence of structural findings in patients with PT. 10,11 These discrepancies likely reflect heterogeneity in study populations, radiologist expertise, and imaging technique used in the evaluation.…”

mentioning

confidence: 99%

CT Angiography as a Screening Tool for Dural Arteriovenous Fistula in Patients with Pulsatile Tinnitus: Feasibility and Test Characteristics

Narvid¹,

M.²,

Blevins³

et al. 2011

AJNR Am J Neuroradiol

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“…1 However, it is difficult to confirm that these entities actually cause PT. Usually, the cause of PT is determined on the basis of the patient's symptoms and the radiographic findings.…”

Section: Discussionmentioning

confidence: 99%

“…Radiographically, the most common cause of PT has been an HJB, and it has been found in 21% of all cases of PT. 1 However, without a sonographic examination, it is difficult to confirm that an HJB actually causes PT. In this report, we describe a sonographic technique for determining whether an HJB induces PT.…”

mentioning

confidence: 99%

A Convenient Sonographic Technique for Diagnosis of Pulsatile Tinnitus Induced by a High Jugular Bulb

Nakagawa¹,

N²,

Fujiwara³

2008

Journal of Ultrasound in Medicine

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Objective. The purpose of this report is to describe our experience with sonography in a case of pulsatile tinnitus (PT) due to a high jugular bulb (HJB). Methods. A 71-year-old woman came to our hospital with a 1-year history of right PT. A right HJB was shown on cerebral angiography, and enlargement of the right jugular blub compared with the left side was found. First, the ultrasound probe was placed on the anterior right upper neck at the anterior edge of the sternocleidomastoid muscle to identify the ipsilateral internal jugular vein (IJV) and measure the flow velocity. After the measurement, the ultrasound probe gradually compressed the skin until the flow in the IJV decreased. Results. The patient reported that her PT decreased after the flow in the IJV decreased. We decided that the PT in this case was induced by the HJB. Conclusions. This technique is less invasive and convenient for the diagnosis of PT caused by an HJB.

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Imaging of pulsatile tinnitus: a review of 74 patients

Cited by 118 publications

References 12 publications

Carotid Doppler Ultrasound Evaluation in Patients with Pulsatile Tinnitus

Carotid Doppler Ultrasound Evaluation in Patients with Pulsatile Tinnitus

CT Angiography as a Screening Tool for Dural Arteriovenous Fistula in Patients with Pulsatile Tinnitus: Feasibility and Test Characteristics

A Convenient Sonographic Technique for Diagnosis of Pulsatile Tinnitus Induced by a High Jugular Bulb

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