Evidence map›Paper›PMID 37069825›Full record

ArticleInterventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences2025

More than just noise: Association of pulsatile tinnitus with anxiety, depression, and reduction of quality of life.

Matthew Amans, Raghav Mattay, Nancy K Hills, Eric Smith, David McCoy, Kazim Narsinh, Karl Meisel

Open access · greenAbstract read
In one paragraph

Article in Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
2.7field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 13 citations in OpenAlex.

  1. Endovascular vs surgical treatment of sigmoid sinus diverticulum causing pulsatile tinnitus: A systematic review.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2026
    Pooled it
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  4. Review
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  8. Review
  9. Balloon occlusion testing for non-sinus-stenosis venous pulsatile tinnitus: A technical case series.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Matthew AmansDepartment of Radiology and Biomedical Imaging, University of California at San Francisco, Zuckerberg San Francisco General Hospital and Trauma Center, San Francisco, CA, USA.
Raghav MattayDepartment of Radiology and Biomedical Imaging, University of California at San Francisco, Zuckerberg San Francisco General Hospital and Trauma Center, San Francisco, CA, USA.ORCID 0000-0002-8506-9503
Nancy K HillsDepartment of Epidemiology and Biostatistics, University of California at San Francisco, San Francisco, CA, USA.
Eric SmithDepartment of Radiology and Biomedical Imaging, University of California at San Francisco, Zuckerberg San Francisco General Hospital and Trauma Center, San Francisco, CA, USA.
David McCoyDepartment of Radiology and Biomedical Imaging, University of California at San Francisco, Zuckerberg San Francisco General Hospital and Trauma Center, San Francisco, CA, USA.
Kazim NarsinhDepartment of Radiology and Biomedical Imaging, University of California at San Francisco, Zuckerberg San Francisco General Hospital and Trauma Center, San Francisco, CA, USA.ORCID 0000-0002-2019-5461
Karl MeiselDepartment of Neurology, McLaren Northern Michigan Hospital, Petoskey, MI, USA.
San Francisco General Hospital · USMcLaren Northern Michigan · USUniversity of California, San Francisco · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BackgroundWhile many of the causes of pulsatile tinnitus (PT) are treatable with endovascular approaches, the risks of treatment must be balanced with the risks of the underlying cause and the psychological impact of symptoms on patients. While many physicians have anecdotal experience, the comorbid relationship of depression and anxiety with PT is unknown. The objectives of this study are to quantify the prevalence of depression and anxiety, and, to identify the demographic risk factors for impactful depression and anxiety in patients with PT.MethodsSubjects recruited from online PT groups filled out secure online questionnaires that included demographic questions, validated Tinnitus Functional Index (TFI) as well as PHQ-9 and GAD-7 questionnaires to assess the prevalence of concurrent depression and anxiety, respectively.ResultsSample included 515 surveys (84% female, 65% unemployed, mean(sd) age = 46.4 years (14.2)). Median symptom duration was 1.9 years. Data showed 46% and 37% of patients with moderate to severe depression and anxiety, respectively. Higher TFI scores were associated with moderate to severe depression (OR 1.07; 95% CI 1.06-1.09, p < 0.001) and anxiety (OR 1.05, 95% CI 1.04-1.06, p < 0.001), with TFI subscores also independently being associated in a univariate analysis.ConclusionsThe prevalence of moderate to severe depression and anxiety in the PT population, which was previously unknown, is estimated in our study to be 46% and 37%, respectively. Significant association of TFI score with increased depression and anxiety scales adds further evidence of the impact of PT on the psychological health of these patients.

Indexed as

AnxietyDepressionQuality of LifeTinnitusAdultFemaleHumansMaleMiddle AgedPrevalenceRisk FactorsSurveys and Questionnairesanxietydepressiondural arteriovenous fistulaidiopathic intracranial hypertensionPulsatile tinnitus

Identifiers

PMID37069825
PMCPMC12202887
OpenAlexW4366239177

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.