@misc{10481/105108,
year = {2025},
month = {6},
url = {https://hdl.handle.net/10481/105108},
abstract = {Pulsatile tinnitus (PT) is a subtype of tinnitus characterized by a perception of heartbeat-synchronous sound. It represents approximately 5–10% of all tinnitus cases and may have either a vascular or non-vascular etiology. Accurate diagnosis is crucial due to the potentially serious implications this condition can entail. Assessment through anamnesis and physical examination may often suggest a diagnosis of PT, but it is rarely definitive. Therefore, a comprehensive and specific imaging diagnostic protocol is essential when evaluating PT. A lack of consensus has been identified regarding the use of a standardized protocol for both pulsatile and non-pulsatile tinnitus, whether unilateral or bilateral. Consequently, neuroradiologists, otologists, and otoneurologists from a tertiary hospital have developed a new imaging diagnostic protocol for PT. The aim of this article is to present an updated approach to the diagnostic and therapeutic management of PT, aiming to establish a protocol that serves as a guide for clinicians assessing this symptom. In patients with bilateral PT, systemic conditions leading to increased cardiac output should generally be ruled out; in unilateral cases, focused imaging studies should be performed to exclude organic etiologies at the cervical and cranial levels.},
publisher = {MDPI},
keywords = {Tinnitus},
keywords = {Pulsatile tinnitus},
keywords = {Clinical approach},
keywords = {Arteriovenous fistula},
keywords = {Idiopathic intracranial hypertension},
title = {Pulsatile Tinnitus: A Comprehensive Clinical Approach to Diagnosis and Management},
doi = {10.3390/jcm14134428},
author = {Pacheco-López, Sofía and Martínez Barbero, José Pablo and Busquier-Hernández, Heriberto and García-Valdecasas Bernal, Juan and Espinosa Sánchez, Juan Manuel},
}