Advertisement

Causes of Tinnitus: Cerebrovascular Diseases

  • Miguel J. A. LáinezEmail author
  • Alejandro Ponz
  • Anna Piera
Chapter
  • 4.1k Downloads

Keypoints

  1. 1.

    Tinnitus can be divided into two broad groups: objective and subjective tinnitus.

     
  2. 2.

    Several layers of complexity are involved in the pathophysiology and the cause of tinnitus, and it is rarely known what causes an individual’s tinnitus.

     
  3. 3.

    Disorders that affect the brain are often accompanied by tinnitus.

     
  4. 4.

    Cerebrovascular diseases can be the cause of both objective and subjective tinnitus.

     
  5. 5.

    This chapter discusses cerebrovascular diseases as a cause of tinnitus and how it is produced.

     

Keywords

Tinnitus Cerebrovascular diseases Arterial pulsatile tinnitus Venous pulsatile tinnitus 

Abbreviations

CTA

Angiotomography

CVD

Cerebrovascular diseases

DAVF

Dural arteriovenous fistula

GJT

Glomus jugular tumor

HJB

High jugular bulb

MRA

Magnetic resonance angiography

PT

Pulsatile tinnitus

RI

Resistive index

References

  1. 1.
    Møller, AR (2003) Pathophysiology of tinnitus. In: Sismanis A (Ed) Otolaryngologic Clinics of North America. WB Saunders: Amsterdam, 249–266Google Scholar
  2. 2.
    Hafeez F, Levine RL, Dulli DA. Pulsatile tinnitus in cerebrovascular arterial diseases. J Stroke Cerebrovasc Dis 1999;8(4):217–223PubMedCrossRefGoogle Scholar
  3. 3.
    Sismanis A. Pulsatile tinnitus. Otolaryngol Clin North Am 2003;36(2):389–402, viiiPubMedCrossRefGoogle Scholar
  4. 4.
    Sanchez TG, Murao M, de Medeiros IR, Kii M, Bento RF, Caldas JG, Alvarez CA, Raggiotto CH. A new therapeutic procedure for treatment of objective venous pulsatile tinnitus. Int Tinnitus J 2002;8(1):54–7PubMedGoogle Scholar
  5. 5.
    Shulman A, Goldstein B, Strashun AM. Central nervous system neurodegeneration and tinnitus: a clinical experience Part I: Diagnosis. Int Tinnitus J 2007;13(2):118–31PubMedGoogle Scholar
  6. 6.
    Shulman A, Goldstein B, Strashun AM. Central nervous system neurodegeneration and tinnitus: a clinical experience Part II: translational neurovascular theory of neurodegenerative CNS disease and tinnitus. Int Tinnitus J 2008;14(1):43–51PubMedGoogle Scholar
  7. 7.
    Liess BD, Lollar KW, Christiansen SG, Vaslow D. Pulsatile tinnitus: a harbinger of a greater ill? Head Neck 2009; 31(2):269–73PubMedCrossRefGoogle Scholar
  8. 8.
    Gutmann R, Wollenberg B, Krampert B, Mees K. Incidence of Doppler ultrasound detectable stenoses of cervical arteries in patients with cochlear-vestibular symptoms. Laryngorhinooto logie 1993;72(10):502–5 GermanPubMedCrossRefGoogle Scholar
  9. 9.
    Hartung O, Alimi YS, Juhan C. Tinnitus resulting from tandem lesions of the internal carotid artery: combined extracranial endarterectomy and intrapetrous primary stenting. J Vasc Surg 2004;39(3):679–81PubMedCrossRefGoogle Scholar
  10. 10.
    Bertora GO, Bergman JM. Doppler ultrasonography in tinnitus patients. Int Tinnitus J 2002;8(2):124–6PubMedGoogle Scholar
  11. 11.
    Kirkby-Bott J, Gibbs HH. Carotid endarterectomy relieves pulsatile tinnitus associated with severe ipsilateral carotid stenosis. Eur J Vasc Endovasc Surg 2004;27(6):651–3PubMedCrossRefGoogle Scholar
  12. 12.
    Daneshi A, Hadizadeh H, Mahmoudian S, Sahebjam S, Jalesi A. Pulsatile tinnitus and carotid artery atherosclerosis. Int Tinnitus J 2004;10(2):161–4PubMedGoogle Scholar
  13. 13.
    Sonmez G, Basekim CC, Ozturk E, Gungor A, Kizilkaya E. Imaging of pulsatile tinnitus: a of 74 patients. Clin Imaging 2007;31(2):102–8PubMedCrossRefGoogle Scholar
  14. 14.
    Sismanis A, Girevendoulis A Pulsatile tinnitus associated with internal carotid artery morphologic abnormalities Otol Neurotol 2008;29(7):1032–6Google Scholar
  15. 15.
    Pelkonen O, Tikkakoski T, Luotonen J, Sotaniemi K. Pulsatile tinnitus as a symptom of cervicocephalic arterial dissection. J Laryngol Otol 2004;118(3):193–8PubMedCrossRefGoogle Scholar
  16. 16.
    Foyt D, Carfrae MJ, Rapoport R. Fibromuscular dysplasia of the internal carotid artery causing pulsatile tinnitus. Otolaryngol Head Neck Surg 2006;134(4):701–2PubMedCrossRefGoogle Scholar
  17. 17.
    Brocks C, Bela C, Gaebel C, Wollenberg B, Sommer K. A dural fistula as a rare cause for a pulse-synchronized tinnitus aurium. Laryngorhinootologie 2008;87(8):573–8PubMedCrossRefGoogle Scholar
  18. 18.
    Yeh SJ, Tsai LK, Jeng JS. Clinical and carotid ultrasonographic features of intracranial dural arteriovenous fistulas in patients with and without pulsatile tinnitus. J Neuroimaging 2009 May 18Google Scholar
  19. 19.
    Tan TY, Lin YY, Schminke U, Chen TY. Pulsatile tinnitus in a case of traumatic temporal extradural arteriovenous fistula: carotid duplex sonography findings before and after embolization. J Clin Ultrasound 2008;36(7):432–6PubMedCrossRefGoogle Scholar
  20. 20.
    Hurst RW, Howard RS, Zager E. Carotid cavernous fistula associated with persistent trigeminal artery: endovascular treatment using coil embolization. Skull Base Surg 1998;8(4):225–8PubMedCrossRefGoogle Scholar
  21. 21.
    Robertson A, Nicolaides AR, Taylor RH. Spontaneous carotido-cavernous fistula presenting as pulsatile tinnitus. J Laryngol Otol 1999;113(8):744–6PubMedCrossRefGoogle Scholar
  22. 22.
    Mohyuddin A Indirect carotid cavernous fistula presenting as pulsatile tinnitus J Laryngol Otol 2000;114(10):788–9PubMedCrossRefGoogle Scholar
  23. 23.
    Rivarés Esteban JJ, Gil Paraíso PJ, Marín García J, Campos del Alamo MA, Martín Martín JM, Navarro Díaz F. Post-traumatic carotid cavernous fistula as a cause of objective tinnitus. An Otorrinolaringol Ibero Am 2002;29(2):117–24 SpanishPubMedGoogle Scholar
  24. 24.
    Lerut B, De Vuyst C, Ghekiere J, Vanopdenbosch L, Kuhweide R Post-traumatic pulsatile tinnitus: the hallmark of a direct carotico-cavernous fistula. J Laryngol Otol 2007;121(11):1103–7 Epub 2007 Feb 13PubMedCrossRefGoogle Scholar
  25. 25.
    Depauw P, Caekebeke J, Vanhoenacker P. Objective pulsatile tinnitus caused by intrapetrous dissecting aneurysms. Clin Neurol Neurosurg 2001;103(3):197–9PubMedCrossRefGoogle Scholar
  26. 26.
    Moonis G, Hwang CJ, Ahmed T, Weigele JB, Hurst RW. Otologic manifestations of petrous carotid aneurysms AJNR. Am J Neuroradiol 2005;26(6):1324–7PubMedGoogle Scholar
  27. 27.
    Titlic M, Tonkic A, Jukic I, Buca A, Kolic K, Batinic T. Tinnitus caused by vertebrobasilar dolichoectasia. Bratisl Lek Listy 2007;108(10–11):455–7PubMedGoogle Scholar
  28. 28.
    Ali S, Radaideh MM, Shaibani A, Russell EJ, Walker MT. Persistent trigeminal artery terminating in the posterior inferior cerebellar artery: case report. Neurosurgery 2008; 62(3):E746–8; discussion E746–8PubMedCrossRefGoogle Scholar
  29. 29.
    Psillas G, Kekes G, Constantinidis J, Triaridis S, Vital V. Subclavian steal syndrome: neurotological manifestations. Acta Otorhinolaryngol Ital 2007;27(1):33–7PubMedGoogle Scholar
  30. 30.
    De Ridder D, De Ridder L, Nowé V, Thierens H, Van de Heyning P, Møller A. Pulsatile tinnitus and the intrameatal vascular loop: why do we not hear our carotids?. Neurosurgery 2005;57(6):1213–7; discussion 1213–7PubMedCrossRefGoogle Scholar
  31. 31.
    Häusler R, Levine RA Auditory dysfunction in stroke Acta Otolaryngol 2000;120(6):689–703PubMedCrossRefGoogle Scholar
  32. 32.
    Szirmai A Cochleovestibular dysfunction caused by cerebrovascular diseases Int Tinnitus J 2005;11(1):63–5PubMedGoogle Scholar
  33. 33.
    Lee H, Whitman GT, Lim JG, Yi SD, Cho YW, Ying S, Baloh RW. Hearing symptoms in migrainous infarction. Arch Neurol 2003;60(1):113–6PubMedCrossRefGoogle Scholar
  34. 34.
    Lee H. Sudden deafness related to posterior circulation infarction in the territory of the nonanterior inferior cerebellar artery: frequency, origin, and vascular topographical pattern. Eur Neurol 2008;59(6):302–6; Epub 2008 Apr 11PubMedCrossRefGoogle Scholar
  35. 35.
    Espinosa PS, Pettigrew LC, Berger JR Clin Neurol Neurosurg 2008 May;110(5):484–91 Hereditary hemorrhagic telangectasia and spinal cord infarct: case report with a of the neurological complications of HHT Epub 2008 Mar 4Google Scholar
  36. 36.
    Li TH, Lan MY, Liu JS, Tseng YL, Wu HS, Chang YY. Type II proatlantal intersegmental artery associated with objective pulsatile tinnitus. Neurology 2008;71(4):295–6PubMedCrossRefGoogle Scholar
  37. 37.
    Ramina R, Maniglia JJ, Fernandes YB, Paschoal JR, Pfeilsticker LN, Neto MC, Borges G. Jugular foramen tumors: diagnosis and treatment. Neurosurg Focus 2004;17(2):E5PubMedCrossRefGoogle Scholar
  38. 38.
    Liu JK, Mahaney K, Barnwell SL, McMenomey SO, Delashaw JB Jr. Dural arteriovenous fistula of the anterior condylar confluence and hypoglossal canal mimicking a jugular foramen tumor. J Neurosurg 2008;109(2):335–40PubMedCrossRefGoogle Scholar
  39. 39.
    Yoon BN, Lee TH, Kong SK, Chon KM, Goh EK. Management of high jugular bulb with tinnitus: transvenous stent-assisted coil embolization. Otolaryngol Head Neck Surg 2008;139(5):740–1PubMedCrossRefGoogle Scholar
  40. 40.
    Bilgen C, Kirazli T, Ogut F, Totan S. Jugular bulb diverticula: clinical and radiologic aspects. Otolaryngol Head Neck Surg 2003;128(3):382–6PubMedCrossRefGoogle Scholar
  41. 41.
    Bush ML, Jones RO, Given C. The value of CT venography in the diagnosis of jugular bulb diverticulum: a series of 3 cases. Ear Nose Throat J 2009;88(4):E4–7PubMedGoogle Scholar
  42. 42.
    Raghuram K, Curé JK, Harnsberger HR. Condylar jugular diverticulum. J Comput Assist Tomogr 2009;33(2):309–11PubMedCrossRefGoogle Scholar
  43. 43.
    Forte V, Turner A, Liu P. Objective tinnitus associated with abnormal mastoid emissary vein. J Otolaryngol 1989;18(5):232–5PubMedGoogle Scholar
  44. 44.
    Papanagiotou P, Grunwald IQ, Politi M, Struffert T, Ahlhelm F, Reith W. Vascular anomalies of the cerebellopontine angle. Radiologe 2006;46(3):216–22 GermanPubMedCrossRefGoogle Scholar
  45. 45.
    Chen CC, Cheng PW, Tseng HM, Young YH. Posterior cranial fossa tumors in young adults. Laryngoscope 2006; 116(9):1678–81PubMedCrossRefGoogle Scholar
  46. 46.
    Houdart E, Chapot R, Merland JJ. Aneurysm of a dural sigmoid sinus: a novel vascular cause of pulsatile tinnitus. Ann Neurol 2000;48(4):669–71PubMedCrossRefGoogle Scholar
  47. 47.
    Sigari F, Blair E, Redleaf M. Headache with unilateral pulsatile tinnitus in women can signal dural sinus trombosis. Ann Otol Rhinol Laryngol 2006;115(9):686–9PubMedGoogle Scholar
  48. 48.
    Krishnan A, Mattox DE, Fountain AJ, Hudgins PA. CT arteriography and venography in pulsatile tinnitus: preliminary results. AJNR Am J Neuroradiol 2006;27(8):1635–8PubMedGoogle Scholar
  49. 49.
    White JB, Kaufmann TJ, Kallmes DF. Venous sinus thrombosis: a misdiagnosis using MR angiography. Neurocrit Care 2008;8(2):290–2PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  • Miguel J. A. Láinez
    • 1
    Email author
  • Alejandro Ponz
  • Anna Piera
  1. 1.Department of NeurologyHospital Clínico Universitario.University of ValenciaValenciaSpain

Personalised recommendations