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Doctor insights on: What Is Pulsatile Tinnitus Caused By A Bruit In The Carotid Systems

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Bright white circle in cpangle on cerv spine MRI - what could it be? Neck/carotid mri/a were ok. Have pulsatile tinnitus+other sx.Wht shld nxt test b?

Bright white circle in cpangle on cerv spine MRI - what could it be? Neck/carotid mri/a were ok. Have pulsatile tinnitus+other sx.Wht shld nxt test b?

I am unable to help: As this is not my field of expertise. I have referred your question to our ENT surgeons, and I am hopeful one or more would be getting back to you with an answer. Good luck, and stay fit. ...Read more

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Bruit (Definition)

Bruit refers to a sound, heard via a stethoscope, of blood when it flows through a narrowed opening. As blood flows through a narrow diameter within a vessel, the velocity of flow increases and also becomes more turbulent. The importance of this sound is that, if your doctor hears it, it can signify underlying atherosclerosis--i.e. Build-up ...Read more

Dr. Mark Stern
Board Certified, Cardiology
40 years in practice
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On cerv spine MRI is large circle of uptake in cpangle. What cld it b? Neck/carotid mri/a were ok. Have pulsatile tinnitus+other sx. Next step/test?

On cerv spine MRI is large circle of uptake in cpangle. What cld it b? Neck/carotid mri/a were ok. Have pulsatile tinnitus+other sx. Next step/test?

I am unable to help : As this is not my field of expertise. I have referred your question to our ENT surgeons, and I am hopeful one or more would be getting back to you with an answer. Good luck, and stay fit. ...Read more

Dr. Mark Stern
Board Certified, Cardiology
40 years in practice
3.0M people helped
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Treating Tinnitus (Checklist)

See Dr. (ENT) and try to determine cause
Once
Ask your doctor if aspirin is a contributor
Once
Assess if TMJ/TMD is the cause
Once
Try taking a ginkgo supplement
Once
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Pulsatile tinnitus, spasms-cheek, eye, facial fullness, sharp pain or numb. All symptoms intermittent, unilateral rt side. Carotid mra ok. Possibilities?

Pulsatile tinnitus, spasms-cheek, eye, facial fullness, sharp pain or numb. All symptoms intermittent, unilateral rt side. Carotid mra ok. Possibilities?

So: When larger arteries blood flow not an issue, think about nerve irritation. Facial nerve trigeminal nerve, should see a neurologist, and good luck! ...Read more

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I have pulsatile tinnitus in right ear. I have been told there is no disease in carotid artery but the blood vessels are tortuous. Can I be cured ?

I have pulsatile tinnitus in right ear.  I have been told there is no disease in carotid  artery but the blood vessels are tortuous. Can I be cured ?

Know the cause first: Before you can be treated (or attempted to be "cured"), you need to figure out the cause of the tinnitus. Many possibilities include hypertension, medications, infection, Meniere's, etc. See your physician for a complete evaluation. You might be referred toa neuro-otologist or ENT physician. http://www.nlm.nih.gov/medlineplus/tinnitus.html ...Read more

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Treating Tinnitus (Checklist)

Keep ears free of wax
Once
Limit use of caffeine, tobacco, alcohol
Once
If having trouble sleeping, try listening to white noise
Once
Board Certified, Cardiology
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I have had pulsatile tinnitus for 2 years caused by my IIH. In recent days the rhythm and pitch has changed. should I be worried?

I have had pulsatile tinnitus for 2 years caused by my IIH. In recent days the rhythm and pitch has changed. should I be worried?

I can tell: From the medications that you are not under the care of a neurologist ! That would be my starting point ! Check iron, Vit A level and give a carbonic anhydride inhibitor a good try. You should not be having pulsatile tinnitus with uncomplicated pseudo tumor. ...Read more

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Do I need to get a MRI to figure out the cause of my pulsatile tinnitus?

Do I need to get a MRI to figure out the cause of my pulsatile tinnitus?

MRI often used: Causes of pulsatile tinnitus include arteriovenous fistula (avf), carotid stenosis, glomus tumor, arteriovenous malformation (avm), aberrant carotid artery or cardiac murmur. A venous hum contributing to pulsatile tinnitus can also be caused by venous anomalies. All of these can potentially be detected by MRI (carotid stenosis would traditionally be picked-up by carotid ultrasound). ...Read more

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Treating Tinnitus (Checklist)

See an ENT
once
Get an audiogram
once
Try masking the sound with fan or sound machine
once
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Bilateral pulsatile tinnitus for a few months. ears are fine, hearing test good.scared something is really wrong. could this just be a benign cause?

Bilateral pulsatile tinnitus for a few months. ears are fine, hearing test good.scared something is really wrong. could this just be a benign cause?

Likely benign: You are likely aware of carotid artery pulsations and NOT a reason to be concerned but discuss further with your doctor if this continues to worry you ...Read more

Dr. William Culviner
549 doctors shared insights

Tinnitus (Definition)

Tinnitus is also known as Ringing in ears. Tinnitus is when a person has a persistent noise in his ear or ears. Tinnitus can be of unknown cause, or can be caused by hearing damage, tumors, problems in the brain or hearing nerve, ...Read more

Dr. Jeffrey Bassman
478 doctors shared insights

Ringing In Ears (Definition)

Ringing in the ears (tinnitus) is a symptom in which a person has a persistent noise in his ear or ears. Tinnitus can be of unknown cause, or can be caused by hearing damage, tumors, problems in the brain or hearing nerve, ...Read more

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Dr. Mark Stern
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