AI Article Synopsis
- Pulsatile tinnitus is a serious condition affecting many Americans, often linked to potential strokes, making proper diagnosis crucial for effective treatment.
- More than 70% of pulsatile tinnitus cases can identify an underlying cause through detailed evaluation, which can be grouped into structural, metabolic, and vascular categories for easier management.
- Proper categorization helps ensure that severe causes aren't overlooked and patients are referred to the right specialists for their specific needs.
Article Abstract
Importance: Pulsatile tinnitus is a debilitating symptom affecting millions of Americans and can be a harbinger of hemorrhagic or ischemic stroke. Careful diagnostic evaluation of pulsatile tinnitus is critical in providing optimal care and guiding the appropriate treatment strategy.
Observations: An underlying cause of pulsatile tinnitus can be identified in more than 70% of patients with a thorough evaluation. We advocate categorizing the myriad causes of pulsatile tinnitus into structural, metabolic, and vascular groups. Structural causes of pulsatile tinnitus include neoplasms and temporal bone pathologic abnormalities. Metabolic causes of pulsatile tinnitus include ototoxic medications and systemic causes of high cardiac output. Vascular causes of pulsatile tinnitus include idiopathic intracranial hypertension and dural arteriovenous fistulas. This categorization facilitates a practical evaluation, referral, and treatment pattern.
Conclusions And Relevance: Categorizing the underlying cause of pulsatile tinnitus ensures that dangerous causes of pulsatile tinnitus are not missed, and that patients receive the appropriate care from the proper specialist when needed.
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| http://dx.doi.org/10.1001/jamaoto.2021.4470 | DOI Listing |
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