Abstract
A wide range of conditions, including atherosclerosis, may lead to pulsatile tinnitus. The objective of this study was to evaluate the patients with pulsatile tinnitus by means of carotid Doppler ultrasound parameters. Thirty-four patients with pulsatile tinnitus were enrolled in the study. Internal carotid artery intima-media thickness (IMT), blood flow velocities and arterial lumen diameters (LD) were measured and compared with the control group. Mean end diastolic velocity (EDV) (32.29 ± 17.22) and IMT (1.06 ± 0.36) values were significantly higher and mean LD (6.69 ± 1.20) was significantly lower compared to the control group. Peak systolic velocity and EDV values were significantly higher in patients whose IMT were greater than 1 mm. Pulsatile tinnitus may be the first symptom of a severe, life threatening disease. Doppler sonography is a noninvasive, safe and easily applicable diagnostic tool for the evaluation of the vascular structures, in patients with pulsatile tinnitus.
Similar content being viewed by others
References
Wilson EC, Schlaug G, Pantev C (2010) Listening to filtered music as a treatment option for tinnitus: a review. Music Percept 27(4):327–330
Pelkonen O, Tikkakoski T, Luotonen J, Sotaniemi K (2004) Pulsatile tinnitus as a symptom of cervicocephalic arterial dissection. J Laryngol Otol 118(3):193–198
Levine SB, Snow JB Jr (1987) Pulsatile tinnitus. Laryngoscope 97(4):401–406
Stouffer JL, Tyler RS (1990) Characterization of tinnitus by tinnitus patients. J Speech Hear Disord 55(3):439–453
Lockwood AH, Burkard RF, Salvi RJ (2004) İmaging Tinnitus. In: Snow JB (ed) Tinnitus: theory and management. BC Decker, Hamilton
Krishnan A, Mattox DE, Fountain AJ, Hudgins PA (2006) CT arteriography and venography in pulsatile tinnitus: preliminary results. AJNR Am J Neuroradiol 27(8):1635–1638
Nadol JB (2010) Disorders of unknown or multiple causes. In: Merchant SN, Nadol JB (eds) Schuknecht’s pathology of the ear, 3rd edn. People’s Medical Publishing House, Shelton
Liyanage SH, Singh A, Savundra P, Kalan A (2006) Pulsatile tinnitus. J Laryngol Otol 120(2):93–97
Sismanis A (1998) Pulsatile tinnitus. A 15-year experience. Am J Otol 19(4):472–477
Ihn YK, Jung WS, Kim BS (2013) Disappeared pulsatile tinnitus related to petrous segment stenosis of the ICA after relief of the stenosis by stenting. Interv Neuroradiol 19(1):97–101
Chandler JR (1983) Diagnosis and cure of venous hum tinnitus. Laryngoscope 93:892–895
Waldvogel D, Mattle HP, Sturzenegger M, Schroth G (1998) Pulsatile tinnitus—a review of 84 patients. J Neurol 245(3):137–142
Gutmann R, Wollenberg B, Krampert B, Mees K (1993) Incidence of Doppler ultrasound detectable stenoses of cervical arteries in patients with cochlear-vestibular symptoms. Laryngorhinootologie 72(10):502–505
Sismanis A (2003) Pulsatile tinnitus. Otolaryngol Clin N Am 36:389–402
Sismanis A (1997) Pulsatile tinnitus. Int Tinnitus J 3(1):39–40
Sismanis A, Smoker WR (1994) Pulsatile tinnitus: recent advances in diagnosis. Laryngoscope 104:681–688
Sonmez G, Basekim CC, Ozturk E, Gungor A, Kizilkaya E (2007) Imaging of pulsatile tinnitus: a review of 74 patients. Clin Imaging 31(2):102–108
Daneshi A, Hadizadeh H, Mahmoudian S, Sahebjam S, Jalesi A (2004) Pulsatile tinnitus and carotid artery atherosclerosis. Int Tinnitus J 10(2):161–164
Bertora GO, Bergman JM (2002) Doppler ultrasonography in tinnitus patients. Int Tinnitus J 8(2):124–126
Bauer M, Caviezel S, Teynor A, Erbel R, Mahabadi AA, Schmidt-Trucksäss A (2012) Carotid intima-media thickness as a biomarker of subclinical atherosclerosis. Swiss Med Wkly 25(142):w13705. doi:10.4414/smw.2012.13705
Saba L, Sanfilippo R, Pascalis L, Montisci R, Caddeo G, Mallarini G (2008) Carotid artery wall thickness and ischemic symptoms: evaluation using multi-detector-row CT angiography. Eur Radiol 18(9):1962–1971. doi:10.1007/s00330-008-0962-5
Simon A, Megnien JL, Chironi G (2010) The value of carotid intima-media thickness for predicting cardiovascular risk. Arterioscler Thromb Vasc Biol 30(2):182–185. doi:10.1161/ATVBAHA.109.196980
Coll B, Nambi V, Feinstein SB (2010) New advances in noninvasive imaging of the carotid artery: CIMT, contrast-enhanced ultrasound, and vasa vasorum. Curr Cardiol Rep 12(6):497–502. doi:10.1007/s11886-010-0139-0
Grant EG, Benson CB, Moneta GL, Alexandrov AV, Baker JD, Bluth EI et al (2003) Carotid artery stenosis: gray-scale and Doppler US diagnosis–society of radiologists in ultrasound consensus conference. Radiology 229(2):340–346
Mancini GB, Dahlöf B, Díez J (2004) Surrogate markers for cardiovascular disease: structural markers. Circulation 109(25 Suppl 1):IV22–IV30
Lieberman EH, Gerhard MD, Uehata A, Selwyn AP, Ganz P, Yeung AC et al (1996) Flow-induced vasodilation of the human brachial artery is impaired in patients <40 years of age with coronary artery disease. Am J Cardiol 78(11):1210–1214
Davignon J, Ganz P (2004) Role of endothelial dysfunction in atherosclerosis. Circulation 109 (23 Suppl 1):III 27–32
Conflict of interest
The authors declare that they have no conflict of interest.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Terzi, S., Arslanoğlu, S., Demiray, U. et al. Carotid Doppler Ultrasound Evaluation in Patients with Pulsatile Tinnitus. Indian J Otolaryngol Head Neck Surg 67, 43–47 (2015). https://doi.org/10.1007/s12070-014-0756-9
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12070-014-0756-9