ArticleThe Laryngoscope2025
Pulsatile Tinnitus as the Primary Symptom in IIH: A Distinct Clinical Entity.
Article in The Laryngoscope, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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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.
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Who cites it
1 citing paper in PubMed.
- Pulsatile Tinnitus as the Primary Symptom in IIH: A Distinct Clinical Entity.The Laryngoscope · 2025Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo compare patients with idiopathic intracranial hypertension (IIH) who present with pulsatile tinnitus (PT) to the Otolaryngology service with those with IIH who present with more classical symptoms to non-otolaryngologists.
methodsChart query confirmed all patients diagnosed with PT and IIH (by modified Friedman criteria). Cohort 1: Those who presented with PT as their chief complaint were evaluated by one of the otology team members, referred to neuro-ophthalmology, and subsequently diagnosed with IIH. Cohort 2: Those who presented initially with headaches and/or visual abnormalities to a nonotolaryngologist where they were diagnosed with IIH syndrome and subsequently referred to and evaluated by an otologist for associated PT. Demographic data recorded included age, sex, and BMI. Analyzed symptoms included the presence of headache and visual disturbances. Clinical findings such as papilledema and cerebrospinal fluid (CSF) pressure measurements and imaging findings were also examined.
resultsForty (20 in each group) consecutive patients were included for analysis. All were female. Patients in Cohort 1 were statistically less likely to have visual symptoms (25% vs. 90%, p < 0.001) or papilledema (40% vs. 85%, p < 0.003). There was no difference in headache prevalence, though those in Cohort 1 were more likely to be mild. CSF opening pressure was lower in patients presenting with PT (29.2 ± 6.39 vs. 35.1 ± 10.8, p = 0.04).
conclusionsPatients with IIH presenting with PT are a distinct entity from those with classic IIH. Clinicians must be aware so that appropriate management can be initiated. LEVEL OF EVIDENCE: 3:
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