Cutaneous-evoked tinnitus: first reported case without preceding posterior fossa surgery.

This is the first report of cutaneous-evoked tinnitus in the absence of posterior fossa surgery. A 56-year-old physician described brief bursts of clicking tinnitus in the right ear in response to rubbing a tiny area over the spine of the right scapula. He had cervical spondylosis and mild, stable, high-frequency, right-sided sensorineural hearing loss. Similarities to somatosensory Mitempfindung suggest that the condition may not be uncommon.