Hofmann E, Nadjmi M, Ratzka M, Schuknecht B
HNO. 1987 May;35(5):211-8.
Tinnitus synchronous with the pulse is usually caused by vascular anomalies. In our own patient group we found the most frequent cause to be highly vascularised tumours related to the pretrous bone, the most common being glomus tumours. Pulsatile tinnitus however also is a main symptom of dural arterio-venous malformations with shunts into the transverse and sigmoid sinus. Finally pulsatile tinnitus may be caused by venous deformities, possibly combined with anomalies of the bulb of the jugular vein. While clinical methods give valuable clues to the type of pathological findings, subtle radiological investigations are necessary for the final diagnosis, such as high resolution computer tomography and super-selective angiography. There has been substantial progress in recent years due to technical developments leading to improved diagnosis and treatment by interventional radiology.
与脉搏同步的耳鸣通常由血管异常引起。在我们自己的患者群体中，我们发现最常见的原因是与颞骨前相关的高度血管化肿瘤，最常见的是球瘤。然而，搏动性耳鸣也是硬脑膜动静脉畸形伴分流至横窦和乙状窦的主要症状。最后，搏动性耳鸣可能由静脉畸形引起，可能与颈静脉球异常合并。虽然临床方法可为病理结果的类型提供有价值的线索，但最终诊断需要进行精细的放射学检查，如高分辨率计算机断层扫描和超选择性血管造影。近年来，由于技术发展，介入放射学在诊断和治疗方面取得了实质性进展。
