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07.08.2014

Is there a cure for pulsatile tinnitus, how tinnitus works - For Begninners

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Inner ear disorders that increase hearing sensitivity (such as SCD) can cause pulsatile tinnitus. There are some very large blood vessels -- the carotid artery and the jugular vein -- that are very close to the inner ear (see diagram above). This is a congenital anomaly in which the internal carotid can present as a middle ear mass.


Arteriovenous fistulae cause loud noises, synchronous with the pulse, that can often be heard by others with a stethescope, or sometimes by simply putting one's ear next to the person's head.
If the carotid fails to develop correctly during fetal life, the inferior tympanic artery enlarges to take it's place. Accordingly, other possibilities for vascular tinnitus include dehiscence (missing bone) of the jugular bulb -- an area in the skull which contains the jugular vein, and an aberrantly located carotid artery. It enters the skull through it's own foramen, courses through the medial part of the middle ear, and then rejoins the petrous ICA (Branstetter and Weissman, 2006).


An enlarged jugular bulb on the involved side is common in persons with venous type pulsatile tinnitus. To avoid conflicts of interest, ideally the expert should work for another medical insitution.



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