Edit concept Question Editor Create issue ticket

Tinnitus


Presentation

  • For 24% of patients, the starting presentation level of 60 dB hearing level recommended for determination of ULLs exceeded the ULL for at least 1 frequency.[ncbi.nlm.nih.gov]
  • Here, four clinical cases are presented to demonstrate a novel approach to tinnitus management that focuses on two fundamental etiologic bases.[ncbi.nlm.nih.gov]
  • We present a case of persistent and troublesome pulsatile tinnitus caused by a transverse-sigmoid sinus diverticulum that was endovascularly treated with stent-assisted coiling.[ncbi.nlm.nih.gov]
  • Failure to establish correct diagnosis may have disastrous consequences, because a potentially life-threatening, underlying disorder may be present.[doi.org]
  • PATIENTS: A 41-year-old man presented with tinnitus, ear fullness, and hearing loss in the left ear on mouth opening.[ncbi.nlm.nih.gov]
Heart Disease
  • Marelli, Normal or Innocent Murmurs, Clinical Recognition of Congenital Heart Disease, 10.1016/B978-1-4377-1618-4.00002-X, (5-14), (2012).[doi.org]
  • These can be: Pulsatile: due to movement of blood - eg, carotid stenosis, vascular anomalies or tumours, valvular heart disease, high cardiac output states.[patient.info]
  • If you have a condition such as diabetes, HIV, cancer, or heart disease, you may need to pay closer attention to certain symptoms and seek care sooner. Medicines you take .[northshore.org]
  • Depending on the underlying cause of the tinnitus you also may see other medical professionals to treat the condition such as a: Dentist for temporomandibular joint (TMJ) disorder (TMJ) or other dental problems Cardiologist (heart specialist) for heart[emedicinehealth.com]
Tinnitus
  • Incident tinnitus was defined in participants who were free of tinnitus symptoms at the baseline study in 1997-1999 but who reported tinnitus symptoms at the 5-yr follow-up in 2002-2004.[ncbi.nlm.nih.gov]
  • Clinical description of a different form of tinnitus: intermittent tinnitus -- Pulsatile tinnitus -- Mʹeni ere's disease and tinnitus -- Tinnitus with headaches -- Tinnitus and psychiatric co-morbidity -- Tinnitus and depression -- Tinnitus and anxiety[worldcat.org]
  • There was a significant reduction of tinnitus severity scores on 2 of 3 measures of tinnitus severity.[emedicine.com]
Hyperacusis
  • , especially when the patient has anxiety, hyperacusis, and/or insomnia.[ncbi.nlm.nih.gov]
  • The main risk factors to develop tinnitus or hyperacusis are hearing loss, social stress and age.[ncbi.nlm.nih.gov]
  • OBJECTIVE: Sound generator (SG) plays a role as effective sound therapy of tinnitus retaining therapy (TRT) in patients with severe tinnitus (Category 1) or hyperacusis (Category 3).[ncbi.nlm.nih.gov]
  • OBJECTIVE: Determine if somatic tinnitus patients with hyperacusis have different characteristics from those without hyperacusis.[ncbi.nlm.nih.gov]
  • There was a statistically lower ratio of patients with hyperacusis. We found that patients with tinnitus in addition to hyperacusis had greater tinnitus severity and exhibited higher rates of various complications.[ncbi.nlm.nih.gov]
Sudden Hearing Loss
  • hearing loss and tinnitus -- Tinnitus and hyperacusis/phonophobia.[worldcat.org]
  • . — Jordan Runtagh, PEOPLE.com , "Huey Lewis Opens Up About Sudden Hearing Loss: 'I Haven't Come to Grips with the Fact That I May Never Sing Again'," 7 May 2018 The affected personnel exhibited several health problems that resemble those caused by mild[merriam-webster.com]
  • hearing loss, weakness in the muscles of your face, or a spinning sensation (vertigo) that beats in time with your pulse What happens at your appointment Your GP will look in your ears to see if your tinnitus is caused by something they can treat, such[nhs.uk]
  • . — Jordan Runtagh, PEOPLE.com, "Huey Lewis Opens Up About Sudden Hearing Loss: 'I Haven't Come to Grips with the Fact That I May Never Sing Again'," 7 May 2018 The affected personnel exhibited several health problems that resemble those caused by mild[merriam-webster.com]
Vertigo
  • VKH syndrome is an uncommon cause of vertigo and hearing loss, but it should be considered in the differential diagnosis of patients with autoimmunity-related inner ear symptoms.[ncbi.nlm.nih.gov]
  • The present work on drug-induced ototoxicity, tinnitus and vertigo represents the update and revision of a previous guide to adverse drug reactions for italian physicians (2005).[ncbi.nlm.nih.gov]
  • METHODS: However, only a fraction of patients appear to benefit from surgery if the combination of findings such as paroxysmal vertigo, ABR changes and tinnitus is used to select patients for microvascular decompression.[ncbi.nlm.nih.gov]
  • As the patients may be totally asymptomatic, but sensorineural symptoms such as sensorineural hearing loss, tinnitus and vertigo can also occur.[ncbi.nlm.nih.gov]
  • . — Beth Harris, The Seattle Times , "US swim nationals set to go on without banned Lochte," 24 July 2018 Meniere’s disease is an inner ear disorder that produces feelings of vertigo, as well as tinnitus (or ringing) and hearing loss. — Jordan Runtagh[merriam-webster.com]

Workup

  • Abstract OBJECTIVES: The aim of this study was to determine the optimal diagnostic workup modalities for vascular pulsatile tinnitus through analysis of clinical and radiologic findings.[ncbi.nlm.nih.gov]
  • Full workup performed by the primary care physician including blood tests for electrolyte imbalance, consultations by 2 independent otholaryngologists, and imaging did not reveal abnormalities to provide etiology of the tinnitus.[ncbi.nlm.nih.gov]
  • Value of DSA in the diagnostic workup of pulsatile tinnitus. PLoS ONE. 2015;10(2):e0117814. CrossRef PubMed PubMedCentral Google Scholar 33. Tsai LK, Yeh SJ, Tang SC, et al.[doi.org]
  • Tinnitus: A stepwise workup to quiet the noise within. Geriatrics, 50 (2), 18–25. Google Scholar Coles, R. R.A. ( 1984 ). Epidemiology of tinnitus: (2) Demographic and clinical features. Journal of Laryngology and Otology (Suppl. 9), 195–202.[doi.org]

Treatment

  • The audiological and MRI measures were repeated after ALCAR treatment.[ncbi.nlm.nih.gov]
  • They were then classified into 5 grades, and the records of their previous treatments were scrutinized. From these records, we designed a practical treatment protocol suitable for each of the 5 grades.[ncbi.nlm.nih.gov]
  • The most common form of treatment of tinnitus is pharmacological agents and behavioral treatment combined with sound therapy. Less common treatments are hypnosis and acupuncture.[ncbi.nlm.nih.gov]
  • […] tinnitus -- Pharmacological approaches to tinnitus treatment -- The endocannabinoid system in the cochlear nucleus and its implications for tinnitus treatment -- Treatment of somatosensory tinnitus -- Tinnitus treatment: botulinum toxin -- Surgical treatments[worldcat.org]
  • LIMITATIONS: The reported data derive from compassionate use treatment in one single patient. Application of a sham condition would have been desirable, but is not possible in the context of compassionate use treatment.[ncbi.nlm.nih.gov]

Prognosis

  • But I feel very strongly that there should be a more robust and proactive approach where someone is given a prognosis in which there is no hope for cure or improvement." Image copyright Eirian Evans/Geograph[bbc.co.uk]
  • Prognosis The outlook for tinnitus depends on its cause. In people with tinnitus related to earwax buildup or medications, the condition usually will go away when the earwax is removed or the medication is stopped.[drugs.com]
  • Conclusion Pulsatile tinnitus can lead to significant morbidity, and identification of the underlying cause is important for adequate treatment and prognosis estimation.[doi.org]

Etiology

  • Here, four clinical cases are presented to demonstrate a novel approach to tinnitus management that focuses on two fundamental etiologic bases.[ncbi.nlm.nih.gov]
  • The patients each underwent a full neurootological examination with the aim of diagnosing an etiology.[ncbi.nlm.nih.gov]
  • Thus, heterogeneity has complicated efforts to explore the etiology of tinnitus using structural MRI. CONCLUSION: There is a pressing need to standardize the use of VBM when evaluating tinnitus patients.[ncbi.nlm.nih.gov]
  • Abstract When tinnitus is pulse-synchronous, a vascular etiology is suggested.[ncbi.nlm.nih.gov]
  • Initial evaluation of tinnitus should include a thorough history, head and neck examination, and audiometric testing to identify an underlying etiology.[ncbi.nlm.nih.gov]

Epidemiology

  • BSc in Medical Sciences Dissertation presented to the Department of Public Health Medicine and Epidemiology, University of Nottingham, 1996. Smith P & Coles RRA. 1987. Epidemiology of tinnitus. In: Feldmann H, ed.[web.archive.org]
  • OBJECTIVE: To assess the epidemiological association of smoking status and tinnitus with a systematic review and meta-analysis and to estimate the population attributable risk in Germany.[ncbi.nlm.nih.gov]
  • Contenuti: Epidemiology of Tinnitus. Psychological Profiles of Tinnitus in Patients. Tinnitus and Insomnia. Psychological Mechanims and Neural Models. Neural Plasticity and Tinnitus. Psychoacoustical Measurement.[worldcat.org]
  • Frequent headaches and fatigue/tenderness in jaw muscles were more prevalent in tinnitus patients than in epidemiologic samples, as was the prevalence of clinical findings of pain on palpation of masticatory muscles, impaired mandibular mobility, and[ncbi.nlm.nih.gov]
  • […] of tinnitus in adults -- Epidemiology of tinnitus in children -- Genetic risk factors in chronic tinnitus -- Anatomy and physiology of the auditory system -- Interaction between somatosensory and auditory systems -- Pathology of the auditory system that[worldcat.org]
Sex distribution
Age distribution

Pathophysiology

  • Contenuti: Front cover; Tinnitus: Pathophysiology and Treatment; Copyright page; Contents; List of contributors; Foreword; Preface; Section I: Introduction; Section II: Pathophysiology; Section III: Epidemiology; Section IV: Diagnosis and Evaluation of[worldcat.org]
  • CONCLUSION: The results suggest that a prothrombotic condition might play a role in the pathophysiology of tinnitus.[ncbi.nlm.nih.gov]
  • Current theories proposing pathophysiology from the ear to the cortex cannot individually - or collectively - explain the range of experimental evidence available.[ncbi.nlm.nih.gov]
  • These findings suggest a potential convergence between bone pathophysiology and some forms of tinnitus. [Indexed for MEDLINE] Free full text[ncbi.nlm.nih.gov]
  • Regarding tinnitus as a single disease is hampering progress in understanding of the pathophysiology of tinnitus and perhaps, more importantly, it is a serious obstacle in development of effective treatments for tinnitus.[ncbi.nlm.nih.gov]

Prevention

  • Much research has been performed to investigate the causes and mechanisms of ototoxicity, to try to prevent this complication.[ncbi.nlm.nih.gov]
  • Can Tinnitus Be Prevented? Some cases of tinnitus may be prevented by avoiding damage to hearing. The following slides discuss ways to protect yourself from noise-related tinnitus.[onhealth.com]
  • There are opportunities for tinnitus prevention in the areas of reducing head injury and noise-induced hearing loss. LEVEL OF EVIDENCE: 4. Laryngoscope, 128:727-731, 2018. 2017 The American Laryngological, Rhinological and Otological Society, Inc.[ncbi.nlm.nih.gov]
  • […] treatment approach described in this article includes applied relaxation, imagery and distraction techniques, advice regarding environmental sounds, management of sleep, cognitive restructuring of thoughts and beliefs associated with tinnitus, and relapse prevention[ncbi.nlm.nih.gov]
  • […] pages : black and white illustrations ; 25 cm Contenuti: The neurophysiological model of tinnitus and decreased sound tolerance -- Tinnitus retraining therapy (TRT): clinical implementation of the model -- Evaluation of treatment outcome and results -- Prevention[worldcat.org]

Ask Question

5000 Characters left Format the text using: # Heading, **bold**, _italic_. HTML code is not allowed.
By publishing this question you agree to the TOS and Privacy policy.
• Use a precise title for your question.
• Ask a specific question and provide age, sex, symptoms, type and duration of treatment.
• Respect your own and other people's privacy, never post full names or contact information.
• Inappropriate questions will be deleted.
• In urgent cases contact a physician, visit a hospital or call an emergency service!