Sismanis A, Smoker W R
Department of Otolaryngology-Head & Neck Surgery, Medical College of Virginia, Richmond.
Laryngoscope. 1994 Jun;104(6 Pt 1):681-8. doi: 10.1288/00005537-199406000-00007.
Pulsatile tinnitus can often be a diagnostic problem. This communication reports the authors' experience on 100 patients with pulsatile tinnitus and describes a practical and effective diagnostic approach. Better understanding of the various etiologies of pulsatile tinnitus, coupled with the introduction of magnetic resonance angiography, in conjunction with magnetic resonance imaging, have made a major impact on the evaluation of this symptom in recent years. Cerebral angiography, previously performed on the majority of patients, is presently indicated in selected cases only. Intracranial hypertension, glomus tumors, and carotid atherosclerosis were the most common diagnoses made in our patients.
搏动性耳鸣常常是一个诊断难题。本文报告了作者对100例搏动性耳鸣患者的经验，并描述了一种实用且有效的诊断方法。近年来，对搏动性耳鸣各种病因的更好理解，再加上磁共振血管造影与磁共振成像的联合应用，对该症状的评估产生了重大影响。以前大多数患者都要进行的脑血管造影，目前仅在特定病例中进行。颅内高压、鼓室球瘤和颈动脉粥样硬化是我们患者中最常见的诊断结果。
