A case came to our clinic with the complaint of intermittent ringing sound subjective high-frequency tinnitus in the left ear, no complaint of imbalance or hearing issues. All audiological tests were administered, and PTA results showed bilateral moderate SNHL, tympanogram B/L A type, REFLEXOMETRY ipsi contra absent, and BERA test results showed (?) acoustic neuroma (CHIRP ABR). The patient was then referred for an MRI scan by the ENT. Most of the time, tinnitus is ignored, but this case suggests a complete profile test, as these tests help early identification and diagnosis of serious issues.
It’s a cerebellopontine angle tumor , which on MRI is T1 hypointense T2 hyperintese and on contrast shows enhancement . In most cases they show widening of internal auditory canal
How about a patient with tinnitus and a pacemaker (not compatible to MRI) ? Non pulsation tinnitus , Audiological fest WNL . Everything normal on neurological exam .
How about a patient with tinnitus and a pacemaker (not compatible to MRI) ? Non pulsation tinnitus , Audiological fest WNL . Everything normal on neurological exam .
Ideopathic tinnitus cases are increasing now a days. Dr.Gursimran sir could you please share the reports? Tinnitus matching test should be performed. Tinnitus retraining therapy along with use of resound tinnitus relief (andrioid free app which has so many natural sounds of multifrequency conponenets) on speaker mode can really help. Reducing caffeinated drinks is a must.