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Ann R Coll Surg Engl. 2012 May;94(4):e139-40. doi: 10.1308/003588412X13171221498820.

Local anaesthetic surgical treatment of severe objective pulsatile tinnitus: a useful technique.

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Norfolk and Norwich University Hospital, Norwich, UK.


Objective pulsatile tinnitus is a rare condition with an often dramatic presentation. We present the case of a 70-year-old woman who presented with over two years' history of unilateral distressing objective pulsatile tinnitus. Carotid arteriography revealed a highly tortuous internal carotid artery. Computed tomography of the ipsilateral temporal bones showed a large jugular bulb. Internal jugular vein ligation under local anaesthetic yielded immediate resolution of her symptoms.

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