Pulsatile Versus Non-Pulsatile Tinnitus in Idiopathic Intracranial Hypertension

Discussion in 'Support' started by Frédéric, Jul 23, 2018.

    1. Frédéric

      Frédéric Member Benefactor

      Location:
      Marseille, France
      Tinnitus Since:
      11/19/2012
      Cause of Tinnitus:
      acoustic trauma
      I don't know where to post this article:
      • Authors: Jonathan P. Funnell, Claudia L. Craven, Simon D. Thompson, Linda D’Antona, Aswin Chari, Lewis Thorne, Laurence D. Watkins, Ahmed K. Toma
      Abstract
      Introduction

      Tinnitus is a symptom commonly associated with idiopathic intracranial hypertension (IIH) that can have a profound effect on quality of life. We aim to determine tinnitus symptom response after dural venous sinus stenting (DVSS) or CSF diversion with a shunt, in patients with both pulsatile (PT) and non-pulsatile tinnitus (NPT).

      Methods
      Single-centre cohort of IIH patients (2006–2016) who underwent 24-h ICP monitoring (ICPM). An un-paired t test compared ICP and pulse amplitude (PA) values in IIH patients with PT vs. NPT.

      Results
      We identified 59 patients with IIH (56 F:3 M), mean age 32.5 ± 9.49 years, 14 of whom suffered from tinnitus. Of these 14, seven reported PT and seven reported NPT. Patients with tinnitus had a mean 24-h ICP and PA of 9.09 ± 5.25 mmHg and 6.05 ± 1.07 mmHg respectively. All 7 patients with PT showed symptom improvement or resolution after DVSS (n = 4), secondary DVSS (n = 2) or shunting (n = 1). In contrast, of the 7 with NPT, only 1 improved post intervention (DVSS), despite 2 patients having shunts and 5 having DVSS.

      Conclusions
      NPT and PT were equally as common in our group of IIH patients. DVSS appears to be an effective management option for IIH patients with a clear history of pulsatile tinnitus. However, non-pulsatile tinnitus was more persistent and did not respond well to either DVSS or CSF diversion.

      Keywords
      Cerebrospinal fluid (CSF) Headache Hydrocephalus Tinnitus Dural venous sinus stenting (DVSS)

      Source: https://link.springer.com/article/10.1007/s00701-018-3587-8
       
    2. Laurie1961
      No Mood

      Laurie1961 Member

      Tinnitus Since:
      2008
      Cause of Tinnitus:
      dental work
      Interesting approach. This has to do with the inability of the brain and sinuses to process and cleanse spinal fluid.

      I am having good luck using mustard packs on my tail bone that would weep excess amounts of clear fluid when my tinnitus first began and was very severe. I also noticed that veins in hands and feet were often bloated and blue, not returning blood as they should until I started using home remedies on the skin that contain sulfur (mustard powder ). Mustard packs to the back of my neck recently have improved my twenty year bout with Bell's Palsy.

      The drug alternative to the stenting approach was not well tolerated. It was a combination of NO and S (acetazalamide) or oxided niacin (converted B3) and sulfur as a simultaneous injection putting it into the veins, or swallowed all at once into the gut.

      So doing surgery and placing a stent or valve is a miraculous idea. Stents are made of plastic that attracts fungus and mold and bacteria or stents are made of a metal that attracts heavy metals. Long term prognosis is a wait and see- and I am sitting on pins and needles waiting to see how long the clinical trial test subjects survive. Which is worse tinnitus or heart flutter?
       

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