A neurosurgeon, the ENT referred me.
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Yes I agree with @shieldandguide, you should def rule out AVM and DAVF. This is typically done by cerebral angiogram. I went thru this process…ENT suggested I had anxiety and depression. Not the case, in fact I’m going for my 2nd angio on Monday to check everything out because pulsatile tinnitus is back after procedure a year ago. I was diagnosed with DAVF.
@kittyrushing i had a head mri which showed some kind of issue with a vein in the outside covering of my brain close to my right ear. At this point the ENT referred me to a neurosurgeon. He automatically recommended a cerebral angiogram to see the cause of the pulsatile tinnitus. Diagnosed with a dural av fistula. Getting ready to go have another angiogram to make sure nothing has changed.
Hi @moomoo21, did you have your appointment yet? If you’ve read other posts, than you already know that pulsatile tinnitus sounds similar to what you may have. I also started with an MRI and an ENT. Ended up at neurosurgeon. I did not cope well with the noise when I was trying to sleep, that’s what finally drove me to the doc. Have you noticed if the thumping in time
With your heartbeat?
not sure, it’s all done thru the catheter so I would think he’d check pressures as well. Doc made it sound like that the only way to really know what your dealing with. The MRI showed what they thought was stenosis, but really couldn’t be sure. I didn’t care what they did, I just wanted it to go away! Right now it’s intermittent and not so loud, so I just deal with it.