Tinnitus

Question 1

If tinnitus is present what does the indicate

Answer 1

SNHL
*may not be form a single disease state but a sing of an underlying condition
*mild tinnitus at times is normal

Question 2

What is pulsatile tinnitus

Answer 2

Ones own heartbeat
1. Vascular abnormality
2. Aneurysm
3. Acoustic tumor
4. Venous sinus stenosis
5. Carotid vaso-occlusive disease

Question 3

What is staccato tinnitus

Answer 3

Rapid series of popping or clicking noises lasting seconds to minutes
1. Accompanied by possible fluttering feeling in ear

Question 4

What are causes of staccato tinnitus

Answer 4

1. Ménière’s disease
2. Middle ear muscle spasm
3. ASA

Question 5

What are the signs of tinnitus

Answer 5

Ringing in ear (unilateral or bilateral)
1. Swishing, popping, clicking, hissing, heartbeat

Question 6

What is the treatment of tinnitus

Answer 6

No specific TX
1. Must avoid exposure to excessive noise or any too toxic agent
2. Can mask the noise
3. Transcranial magnetic stimulation

Question 7

What oral antidepressant is most effective for the treatment of tinnitus

Answer 7

Nortriptyline 50mg