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Encyclopedia category

Pulsatile, objective & rare tinnitus

16 headwords: 12 articles, 2 entries, 2 definitions

This category brings together the kinds of tinnitus that are not the common, steady ringing: tinnitus that pulses in time with the heartbeat, objective tinnitus that another person can sometimes hear, and rarer patterns such as clicking, rhythmic or staccato sounds. It includes the blood vessel and bone conditions that can lie behind them and the scans used to look for those conditions.

The pages explain how each kind is assessed and why that assessment differs from the one for ordinary tinnitus. Some of the conditions listed here can need urgent care; their pages show the signs that mean not waiting, and the When to See a Doctor checklist brings those signs together in one place.

If the sound you hear beats with your pulse, start with the pulsatile tinnitus article, which describes the whole range before the individual causes. The headwords below are listed A to Z, each marked as a full article, a shorter entry or a glossary definition, and the full index lists the abbreviations these conditions are often known by.

Every headword, A to Z

  • Cerebral venous sinus thrombosisEntry

    A clot in the large veins that drain blood from the brain: an uncommon kind of stroke that commonly causes headache and rarely a pulsing sound in one ear.

  • Cervical artery dissectionArticle

    Sudden pulsatile tinnitus with neck pain, headache or a drooping eyelid can mean a torn neck artery. The warning signs, how it is scanned and how it is treated.

  • Dural arteriovenous fistulaArticle

    In one series, pulsatile tinnitus was the only symptom in 13.6% of people with a dAVF. Embolisation cured the sound in 80.8% of those treated. And on a CT it can look like something else entirely.

  • Eagle syndromeArticle

    An elongated styloid process can compress the vessels beside it and produce tinnitus, ear pain and symptoms triggered by turning the head. About 30% of people have the bone. Almost none have the syndrome.

  • Fibromuscular dysplasiaDefinition

    An uncommon disease of medium-sized arteries that is neither inflammatory nor atherosclerotic, most often affecting women in young and middle adulthood. Headaches and pulsatile tinnitus are among its common symptoms, and the cerebrovascular findings associated with it are cervical artery dissection and intracranial aneurysms.

  • Glomus tumourArticle

    A benign, slow-growing vascular tumour behind the eardrum whose two commonest symptoms are hearing loss and pulsatile tinnitus. What the workup includes, and why watching it is now a real option.

  • Intracranial aneurysm and pulsatile tinnitusEntry

    A bulge in a weakened artery wall inside the skull. It is a rare cause of a pulsing sound in the ear, usually from the carotid artery near the ear.

  • Intracranial hypertensionArticle

    Pulsatile tinnitus is one of the three main symptoms of IIH, a condition whose untreated endpoint is permanent vision loss. What the diagnosis involves and what the trial evidence supports.

  • Middle ear myoclonusArticle

    Rare muscle spasms in the middle ear or throat can produce clicking or buzzing that is sometimes audible to someone standing nearby.

  • Objective and subjective tinnitusArticle

    Nearly all tinnitus is subjective, heard only by you. The rare objective kind can be heard by an examiner, and that difference changes the diagnostic path.

  • Objective tinnitusDefinition

    The rare form that another person can sometimes hear, usually with a stethoscope. It points to an actual physical sound source such as blood flow or muscle contraction.

  • Pulsatile tinnitusArticle

    Pulsatile tinnitus is different from ordinary tinnitus in an important way — here's what causes it and why it's worth getting checked.

  • Sigmoid sinus wall abnormalitiesArticle

    A thin or bulging vein wall in the skull is one of the few causes of pulsatile tinnitus that surgery reliably fixes. It also turns up in 9% of people without pulsatile tinnitus.

  • Tinnitus when lying downArticle

    Why tinnitus can seem louder when you lie down, what it means when a whoosh gets worse or ear symptoms ease lying flat, and which patterns need checking.

  • Typewriter tinnitusArticle

    Tinnitus that sounds like Morse code or popcorn is a distinct syndrome with a vascular cause — and, unusually, a medication most patients respond to.

  • Venous sinus stenosis and pulsatile tinnitusArticle

    A narrowed vein inside the skull is a leading cause of pulsatile tinnitus. How it links to IIH, how scans and pressure tests find it, and what stenting does.

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