搏动性耳鸣：用氯硝西泮和普萘洛尔治疗。
Pulsatile tinnitus: treatment with clonazepam and propranolol.
作者信息
Albertino Sergio, Assunção Aída R M de, Souza Jano A
机构信息
Universidade Federal Fluminense.
出版信息
Braz J Otorhinolaryngol. 2005 Jan-Feb;71(1):111-3. doi: 10.1016/s1808-8694(15)31297-0. Epub 2006 Jan 2.
Pulsatile tinnitus synchronous with heartbeat is rare and normally has vascular origin: arterial (malformation, arterial anatomical variation) or venous (aberrant jugular bulb, glomus tumors, tympanic glomus tumor). Early etiology identification is essential for appropriate treatment to be established. Magnetic angioresonance makes the vascular identification possible and precise. We report a case of arterial anatomical variation in which the treatment was propranolol and clonazepam, showing tinnitus improvement.
与心跳同步的搏动性耳鸣较为罕见，通常源于血管：动脉性（畸形、动脉解剖变异）或静脉性（颈静脉球异常、球瘤、鼓室球瘤）。早期病因识别对于确立恰当的治疗至关重要。磁共振血管造影可实现血管的准确识别。我们报告一例动脉解剖变异病例，其治疗药物为普萘洛尔和氯硝西泮，耳鸣症状有所改善。
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