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Objective tinnitus in benign intracranial hypertension: An update
Author(s) -
Sismanis Aristides,
Butts Frank M.,
Hughes Gordon B.
Publication year - 1990
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1288/00005537-199001000-00008
Subject(s) - medicine , acetazolamide , papilledema , tinnitus , headaches , pseudotumor cerebri , furosemide , lumbar puncture , intracranial pressure , dihydroergotamine , supine position , radiology , surgery , cerebrospinal fluid , anesthesia , migraine , audiology
Previously, the authors reported that objective pulsatile tinnitus can be the major or only manifestation of benign intracranial hypertension. This report updates the authors' experience with 31 patients managed over the past 7 years. Benign intracranial hypertension should be suspected in all patients with pulsatile‐objective tinnitus, especially when the patient is a young, obese female with headaches and/or visual disturbances. Papilledema and small ventricles or an empty sella on computerized tomography are almost diagnostic. The diagnosis is confirmed by elevated spinal fluid pressure on lumbar puncture. In such patients, angiography is not indicated. Furosemide and acetazol‐amide are very effective. Ligation of the internal jugular vein is contraindicated.