Audible Pulsatile Tinnitus. A Report of Three Cases.

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  • 血管性他覚的耳鳴の３症例

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The purpose of this paper is to remind physicians of the necessity of performing auscultation and angiography in cases of pulsatile tinnitus. Tinnitus is a subjective sensation in the ear and is usually attributed to untreatable inner ear disorders. Pulsatile tinnitus, however, is usually treatable. We report here 3 cases of pulsatile tinnitus in patients with A-V shunts whose tinnitus was audible. Phonocardiograms showed that the murmurs were synchronous with cardiac systole. Angiographic examination revealed A-V shunts. The tinnitus was greatly reduced by occlusion of the responsible arteries with embolisation, coils, and irradiation. Conventional X-ray and MR images failed to reveal any anomalies in our 3 patients. We advise examination with auscultation and angiography in patients with pulsatile tinnitus.

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