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Medical Forum / Diseases and Disorders / Tinnitus / September 2005

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Pulsatile tinnitus

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John Goddard - 15 Sep 2005 23:31 GMT
Here is an interesting article on pulsatile tinnitus.  It gives a good
overview.

http://radiology.rsnajnls.org/cgi/content/full/216/2/342

John
John Goddard - 15 Sep 2005 23:36 GMT
I've got pulse synchronous pulsatile tinnitus (non-objective, idiopathic),
the intensity of which is directly proportional to my blood pressure.  When
my blood pressure goes beyond a certain limit the sound pf the pulsatile
tinnitus changes from a "whoooshing" sound to an electrical "bleeping" sort
of sound.  Could this be vascular pressure on the VIIIth cranial nerve
kicking in?

Any ideas gratefullyreceived.

John
Elly Byrne - 16 Sep 2005 21:03 GMT
Have you been checked out by a doctor to make sure there isn't a
medical cause for this?

If not then it is a muscular problem. http://eebee.net/pt.shtml

If no cause can be found after various tests have been performed,
then it is most likely due to MUSCLE TENSION.
Please see a massage therapist - trusted chiropractor,
physiotherapist, aroma therapist etc.
See if there is tension in your body. Ask questions of the therapist.
Where is the tension?
What can I do about it etc?

Elly's Tinnitus Resources
http://eebee.net/

>I've got pulse synchronous pulsatile tinnitus (non-objective, idiopathic),
>the intensity of which is directly proportional to my blood pressure.  When
[quoted text clipped - 6 lines]
>
>John
Howard Gutnick - 16 Sep 2005 21:49 GMT
> Have you been checked out by a doctor to make sure there isn't a
> medical cause for this?
[quoted text clipped - 24 lines]
>>
>>John

Elly, I don't agree. Just because a "medical cause" has  not been found does
not mean, by process of elimination, that pulsatile tinnitus is due to
muscle tension. You have a hammer, so everything is a nail to you. That just
is not the case.

HNG
Elly Byrne - 17 Sep 2005 21:07 GMT
>Elly, I don't agree. Just because a "medical cause" has  not been found does
>not mean, by process of elimination, that pulsatile tinnitus is due to
>muscle tension. You have a hammer, so everything is a nail to you. That just
>is not the case.
>
>HNG

Do you have a better answer? I did say that 'if a medical cause cannot
be found...'

I am not suggesting anything dangerous. I am not suggesting drugs or
herbs. Just a simple exercise. Until it has been tried you have no way
of knowing whether the muscular thing was right or not.

Elly's Tinnitus Resources
http://eebee.net/
John Goddard - 18 Sep 2005 22:09 GMT
Elly, with all respect your logic seems to be a fallacy of the "post hoc
ergo propter hoc" type.  Just because one may have muscle tension (and who
doesn't at some time or other?) doesn't mean that everything that is wrong
with you is caused by that muscle tension.  Last week I saw a shooting star
fall to earth.  I had muscle tension at the time.  Are the two things
related?

Best regards - John

>>Elly, I don't agree. Just because a "medical cause" has  not been found
>>does
[quoted text clipped - 14 lines]
> Elly's Tinnitus Resources
> http://eebee.net/ 
Howard Gutnick - 18 Sep 2005 23:37 GMT
> Elly, with all respect your logic seems to be a fallacy of the "post hoc
> ergo propter hoc" type.  Just because one may have muscle tension (and who
[quoted text clipped - 4 lines]
>
> Best regards - John

And the rooster thinks that because he crows, the sun rises.

Signature

HNG

A Zen Thought: Plan to be spontaneous.

Larry Lix - 19 Sep 2005 03:28 GMT
For sure!  Exercise and stretching is dangerous! I heard of one person that
stretched themselves so far their neck broke and they died (sarc)

Has to be "My way and only my way"

"Howard Gutnick" <bodypride@cox.net> wrote:

>Elly, I don't agree. Just because a "medical cause" has  not been found does
>not mean, by process of elimination, that pulsatile tinnitus is due to
>muscle tension. You have a hammer, so everything is a nail to you. That just
>is not the case.
>
>HNG

Do you have a better answer? I did say that 'if a medical cause cannot
be found...'

I am not suggesting anything dangerous. I am not suggesting drugs or
herbs. Just a simple exercise. Until it has been tried you have no way
of knowing whether the muscular thing was right or not.

Elly's Tinnitus Resources
http://eebee.net/
John Goddard - 21 Sep 2005 17:29 GMT
Well, nasty things can happen very occasionally:
J

     Neurol Med Chir (Tokyo). 2000 Apr;40(4):211-5. Related Articles, Links

Spontaneous vertebral arteriovenous fistula--case report.

Yoshida S, Nakazawa K, Oda Y.

Department of Neurosurgery, Kobe City General Hospital.

A 57-year-old male presented with a rare case of spontaneous vertebral
arteriovenous fistula manifesting as radiculopathy of the right arm,
subsequently associated with pulsating tinnitus and vascular bruit in the
nape. He had a past history of chiropractic-induced vertebrobasilar
infarction. Angiography showed a simple and direct fistula between the third
segment of the right vertebral artery and the epidural veins at the C-1
level, where the artery runs backward above the arch of the C-1 just
proximal to the penetration of the dura. The fistula was successfully
obliterated by coil embolization, resulting in rapid improvement of the
signs and symptoms. Mechanical compression to the nerve roots by the
engorged epidural veins with arterial pressure was considered to be the
major cause of radiculopathy. Vertebral artery dissection induced by
chiropractic manipulation is most likely responsible for the development of
the fistula.

> For sure!  Exercise and stretching is dangerous! I heard of one person
> that
[quoted text clipped - 22 lines]
> Elly's Tinnitus Resources
> http://eebee.net/
Larry Lix - 21 Sep 2005 22:27 GMT
Exactly! This doesn't mean all practicioners of any art are quacks as the
allopaths would have us believe.

They never judge themselves by the same standards used to intimidate the
public against contrary practices to their own.

And yet many of these selfproclaimed  "professionals" secretly participate
in the "dark" arts for their own health.

Well, nasty things can happen very occasionally:
J

     Neurol Med Chir (Tokyo). 2000 Apr;40(4):211-5. Related Articles, Links

Spontaneous vertebral arteriovenous fistula--case report.

Yoshida S, Nakazawa K, Oda Y.

Department of Neurosurgery, Kobe City General Hospital.

A 57-year-old male presented with a rare case of spontaneous vertebral
arteriovenous fistula manifesting as radiculopathy of the right arm,
subsequently associated with pulsating tinnitus and vascular bruit in the
nape. He had a past history of chiropractic-induced vertebrobasilar
infarction. Angiography showed a simple and direct fistula between the third
segment of the right vertebral artery and the epidural veins at the C-1
level, where the artery runs backward above the arch of the C-1 just
proximal to the penetration of the dura. The fistula was successfully
obliterated by coil embolization, resulting in rapid improvement of the
signs and symptoms. Mechanical compression to the nerve roots by the
engorged epidural veins with arterial pressure was considered to be the
major cause of radiculopathy. Vertebral artery dissection induced by
chiropractic manipulation is most likely responsible for the development of
the fistula.

> For sure!  Exercise and stretching is dangerous! I heard of one person
> that
[quoted text clipped - 22 lines]
> Elly's Tinnitus Resources
> http://eebee.net/
John Goddard - 18 Sep 2005 21:59 GMT
Hi Elly.  Thanks for your comments.  I think muscular tension can certainly
exacerbate tinnitus problems, but given the pulse synchronous nature of the
problem, I am not sure that the "cause" of my pulsatile tinnitus could be
due to muscle tension.

It is my feeling that when blood pressure rises above a certain level, then
that pressure is somehow transmitted to the auditory system and results in
the electrical "bleeping" sound that I hear.  Maybe the VIIIth cranial nerve
is involved in this process, I really don't know.

Again, thanks.
John

> Have you been checked out by a doctor to make sure there isn't a
> medical cause for this?
[quoted text clipped - 24 lines]
>>
>>John

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