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The most important exam for the patient of pulsatile tinnitus is neck compression. After compressing the neck, if the pulsatile tinnitus disappears, this is a very, very positive sign and it has a very positive implication. It points that the tinnitus is due to a vascular cause, and it’s due to a problem in the vein. Next step for the patient is to detect that problem in the vein, which would be an MRV brain.
This is Dr. Mostafa Farid, consultant interventional neuroradiologist, Ain Shams University, Cairo, Egypt.
dr.mostafafarid@med.asu.edu.eg
00201098988641
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