Specialist Links Pulsatile Tinnitus to Hearing Loss and Hyperacusis

Discussion in 'Support' started by WIllyC, Jan 15, 2021.

    1. WIllyC
      Balanced

      WIllyC Member

      Tinnitus Since:
      07/1981
      Cause of Tinnitus:
      Ear Infection
      There’s debate over if pulsatile tinnitus can be linked to hearing loss or if it is purely vascular.

      Likely readers are familiar with this article that can at least provide examples of non vascular sources of pulsatile tinnitus:

      Somatosensory Pulsatile Tinnitus Syndrome: Somatic Testing Identifies a Pulsatile Tinnitus Subtype That Implicates the Somatosensory System

      ...but those who feel it is vascular are usually more insistent that it is not related to hearing loss, even if they accept the article above. (I’m honestly not trying to create a straw man here or call out anyone - I’m really appreciative of everyone who participates in this forum and I just want to find the truth. If I am misrepresenting the argument, set me straight).

      This expert in pulsatile tinnitus attributes somatosensory pulsatile tinnitus to hearing loss and hyperacusis:

      Otology | Pulsatile Tinnitus | Mr Patrick Axon


      In my case, it really seems like somatosensory. I can’t prove if it is linked to hearing damage or not but it came on at roughly the same time.

      That being said I also have vascular symptoms so I am following that route of investigation with the medical resources available to me. (I get pressure sensations in the head and pulsing sensations in various locations - but those could be psychosomatic).

      I’ll add that the only reliable way I can silence my pulsatile tinnitus is pressing down on the top of my head. There are other things that change it but pressing down on my head is immediate and dramatic and like nothing else. I have considered crafting myself a heavy hat. It doesn’t have to be in any specific location - just weight down on my neck.

      I am seeing a physiotherapist for this and it has actually made improvements (minor and possibly coincidental- but I’ll take what I can get).

      I’m just putting this information out there for review. I’m not trying to start a fight. I appreciate very much the work by key members of this forum and I mean no disrespect to anyone.

      I’d be interested in hearing anyone’s opinion on the above video (he starts talking about somatosensory pulsatile tinnitus about at about 4:30).

      Thanks and I wish silence to all of you.
       
    2. Greg Sacramento

      Greg Sacramento Member Benefactor Ambassador Hall of Fame Advocate

      Tinnitus Since:
      April 2011
      Cause of Tinnitus:
      syringing and now somatic T dental work
      @WIllyC When someone has pulsatile tinnitus with also having hearing loss or tinnitus, the first question to ask is did you silently hum a rhythm before consciously hearing a hum or heartbeat. If one did, then their pulsatile tinnitus is vascular. 96% will say yes - I hummed to myself before hearing anything in my ear.

      If they didn't hum to self before hearing a hum, the 4%, then it's may be a somatic physical tinnitus issue - or ear condition causing the hum.

      If a heart beat is heard, then it's vascular. Having tinnitus, then getting pulsatile tinnitus can associate to the somatic physical tinnitus cause - where mostly stressed arteries has some involvement. Or it can be bought on by hypertension causing heart/ aortic vessel stress and/or by the effects of hypertension causing plaque to travel to the carotid arteries.
       
    3. AUTHOR
      AUTHOR
      WIllyC
      Balanced

      WIllyC Member

      Tinnitus Since:
      07/1981
      Cause of Tinnitus:
      Ear Infection
      I don’t understand what you are saying here.
       
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