Pulsatile Tinnitus
Mr Patrick Axon
, Consultant ENT Surgeon,
Cambridge University Hospitals NHS Foundation Trust
ENT Grand Rounds, 26th May 2020
Curriculum topics (UK Otolaryngology Higher Surgical Training 2017)
1. Otology - Tinnitus; Disorders of balance; Lateral skull base tumours
01:52 - Definitions/types of pulsatile tinnitus, overview and basic principles
05:35 - Abnormal hearing organ hearing a normal sound -
05:53 - Middle ear anatomy and pathology
09:27 - Inner ear anatomy and pathology
13:50 - Normal hearing organ hearing an abnormal sound
15:52 - History, examination and investigation
17:51 - 7 'golden rules'
18:56 - Vascular pulsatile tinnitus - investigations
22:33 - Idiopathic intracranial hypertension - symptoms and investigations
24:42 - CSF dynamics and cerebral venous outflow
26:46 - Iatrogenic fulminant intracranial hypertension
28:30 - Ligation of the IJV and IJV dependency
32:19 - Managing vascular pulsatile tinnitus
34:16 - Improving intracranial venous outflow
Questions
42:02 - First imaging investigation CT v MRA
43:03 - Carotid stenosis/IIH and pulsatile tinnitus - onward referral
45:41 - SSCD and pulsatile tinnitus
47:06 - IIH and ophthalmlogy review
48:09 - Common missed diagnoses
49:50 - Patients with somatic pulsatile tinnitus
