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07.03.2014

What are the causes of pulsatile tinnitus, ringing ears zoloft - Plans Download

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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. Tinnitus (pronounced ti-ni-tis), or ringing in the ears, is the sensation of hearing ringing, buzzing, hissing, chirping, whistling, or other sounds. Although tinnitus is often associated with hearing loss, it does not cause the loss, nor does a hearing loss cause tinnitus.
Some instances of tinnitus are caused by infections or blockages in the ear, and the tinnitus can disappear once the underlying cause is treated.
Certain drugs -- most notably aspirin, several types of antibiotics, anti-inflammatories, sedatives, and antidepressants, as well as quinine medications; tinnitus is cited as a potential side effect for about 200 prescription and nonprescription drugs. Tinnitus can worsen in some people if they drink alcohol, smoke cigarettes, drink caffeinated beverages, or eat certain foods.


If the carotid fails to develop correctly during fetal life, the inferior tympanic artery enlarges to take it's place. In fact, some people with tinnitus experience no difficulty hearing, and in a few cases they even become so acutely sensitive to sound (hyperacusis) that they must take steps to muffle or mask external noises. For reasons not yet entirely clear to researchers, stress and fatigue seem to worsen tinnitus.
But ringing in the ears that does not get better or go away is an ear condition called tinnitus.
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).
In severe cases, however, tinnitus can cause people to have difficulty concentrating and sleeping. In such a case, other therapies -- both conventional and alternative -- may bring significant relief by either decreasing or covering up the unwanted sound. The noise causes permanent damage to the sound-sensitive cells of the cochlea, a spiral-shaped organ in the inner ear.


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.
Carpenters, pilots, rock musicians, street-repair workers, and landscapers are among those whose jobs put them at risk, as are people who work with chain saws, guns, or other loud devices or who repeatedly listen to loud music.
The sound may keep time with your heartbeat, it may keep pace with your breathing, it may be constant, or it may come and go. The most common cause of tinnitus is hearing loss that occurs with aging, but it can also be caused by living or working around loud noises. Hearing loss treatments depend on the cause and include hearing aids, sound-amplifying devices, and antibiotics if the cause is an infection. There are a variety of causes of hearing loss besides congenital hearing loss, including ear infections, genetic disorders, illnesses that trigger hearing loss, head injuries, medications, and more.




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