Pulsatile tinnitus: treatment with clonazepam and propranolol

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Pulsatile tinnitus: treatment with clonazepam and propranolol.

Pulsatile tinnitus synchronous with heartbeat is rare and normally has vascular origin: arterial (malformation, arterial anatomical variation) or venous (aberrant jugular bulb, glomus tumors, tympanic glomus tumor). Early etiology identification is essential for appropriate treatment to be established. Magnetic angioresonance makes the vascular identification possible and precise. We report a c...

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Clonazepam in the pharmacological treatment of vertigo and tinnitus.

We carried out a retrospective survey of 25 years of clinical experience with the use of clonazepam as a vestibular and tinnitus suppressant in the pharmacological treatment of vestibular or cochleovestibular disorders due to different causes. We reviewed the medical records of 3,357 outpatients treated with a 0.5 or 1.0-mg daily dosage of oral clonazepam during 60-180 days. Complete or substan...

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Pulsatile tinnitus.

Pulsatile tinnitus is an uncommon otologic symptom, which often presents a diagnostic and management dilemma to the otolaryngologist. This symptom always deserves a thorough evaluation to avoid disastrous consequences from potentially life-threatening associated pathology. In most pulsatile tinnitus patients a treatable underlying etiology can be identified.

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Pulsatile tinnitus.

Pulse-synchronous tinnitus suggests a vascular etiology and is deemed rare by the otologic literature. During the period 1978-1985 we evaluated 20 patients with the sole or initial complaint of pulsatile tinnitus. Fourteen patients had objective pulsatile tinnitus, perceived by the patient and the examiner alike, and 6 had subjective pulsatile tinnitus, perceived by the patient only. Angiograph...

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Treatment of Pulsatile Tinnitus Associated with Multiple Factors

413 Numerous factors may lead to pulsatile tinnitus (PT), including atherosclerosis, benign intracranial hypertension, glomus tympanicum tumor, dural arteriovenous fistulas (dAVFs), abnormalities of the sigmoid sinus (dehiscence and diverticulum), and jugular bulb anomalies (glomus jugular tumor, diverticulum, high‑riding or dehiscent jugular bulb). However, exact causes often cannot be found i...

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ژورنال

عنوان ژورنال: Brazilian Journal of Otorhinolaryngology

سال: 2005

ISSN: 1808-8694

DOI: 10.1016/s1808-8694(15)31297-0