Otology and neuro-otology: Edited by Myles L. PensakPulsatile tinnitus contemporary assessment and managementSismanis, Aristidesa,bAuthor Information aDepartment of Otorhinolaryngology – Head and Neck Surgery, University of Athens bA’ ORL Clinic, Ippokration Hospital, Athens, Greece Correspondence to Aristides Sismanis, MD, FACS, Professor of Otorhinolaryngology – Head and Neck Surgery, University of Athens, Athens, Greece E-mail: [email protected] Current Opinion in Otolaryngology & Head and Neck Surgery: October 2011 - Volume 19 - Issue 5 - p 348-357 doi: 10.1097/MOO.0b013e3283493fd8 Buy Metrics Abstract Purpose of review Pulsatile tinnitus is an uncommon otologic symptom, which often presents a diagnostic and management dilemma to the otolaryngologist. The majority of patients with pulsatile tinnitus have a treatable cause. Failure to establish correct diagnosis may have disastrous consequences, because a potentially life-threatening, underlying disorder may be present. The purpose of this review is to familiarize the otolaryngologist with the most common causes, evaluation, and management of pulsatile tinnitus. Recent findings The pathophysiology, classification, various causes, evaluation, and management of the most common causes of pulsatile tinnitus are presented in this review. Summary Pulsatile tinnitus deserves a thorough evaluation and, in the majority of cases, there is a treatable underlying cause. The possibility of a life-threatening cause needs to be ruled out in every patient with pulsatile tinnitus. The otolaryngologist should be familiar with the evaluation and management of this symptom. © 2011 Lippincott Williams & Wilkins, Inc.