Evidence map›Paper›PMID 40648801›Full record

ReviewJournal of clinical medicine2025

Pulsatile Tinnitus: A Comprehensive Clinical Approach to Diagnosis and Management.

Sofía Pacheco-López, Jose Pablo Martínez-Barbero, Heriberto Busquier-Hernández, Juan García-Valdecasas-Bernal, Juan Manuel Espinosa-Sánchez

Abstract readReview
In one paragraph

Review in Journal of clinical medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
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

5 authors.

Sofía Pacheco-LópezDivision of Otology, Audiology and Lateral Skull Base Surgery, Department of Otolaryngology, Hospital Universitario Virgen de las Nieves, 18014 Granada, Spain.ORCID 0000-0001-9752-2996
Jose Pablo Martínez-BarberoDivision of Neuroradiology, Department of Radiology, Hospital Universitario Virgen de las Nieves, 18014 Granada, Spain.ORCID 0000-0003-4217-0633
Heriberto Busquier-HernándezDivision of Neuroradiology, Department of Radiology, Hospital Universitario Virgen de las Nieves, 18014 Granada, Spain.
Juan García-Valdecasas-BernalDivision of Otology, Audiology and Lateral Skull Base Surgery, Department of Otolaryngology, Hospital Universitario Virgen de las Nieves, 18014 Granada, Spain.
Juan Manuel Espinosa-SánchezDivision of Otoneurology, Department of Otolaryngology, Hospital Universitario Virgen de las Nieves, 18014 Granada, Spain.ORCID 0000-0001-8436-5629

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pulsatile tinnitus (PT) is a subtype of tinnitus characterized by a perception of heartbeat-synchronous sound. It represents approximately 5-10% of all tinnitus cases and may have either a vascular or non-vascular etiology. Accurate diagnosis is crucial due to the potentially serious implications this condition can entail. Assessment through anamnesis and physical examination may often suggest a diagnosis of PT, but it is rarely definitive. Therefore, a comprehensive and specific imaging diagnostic protocol is essential when evaluating PT. A lack of consensus has been identified regarding the use of a standardized protocol for both pulsatile and non-pulsatile tinnitus, whether unilateral or bilateral. Consequently, neuroradiologists, otologists, and otoneurologists from a tertiary hospital have developed a new imaging diagnostic protocol for PT. The aim of this article is to present an updated approach to the diagnostic and therapeutic management of PT, aiming to establish a protocol that serves as a guide for clinicians assessing this symptom. In patients with bilateral PT, systemic conditions leading to increased cardiac output should generally be ruled out; in unilateral cases, focused imaging studies should be performed to exclude organic etiologies at the cervical and cranial levels.

Indexed as

arteriovenous fistulaclinical approachidiopathic intracranial hypertensionpulsatile tinnitustinnitus

Identifiers

PMID40648801
PMCPMC12250305

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Registered trials

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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.