title: Local anaesthetic surgical treatment of severe objective pulsatile tinnitus: a useful technique.
abstract: Objective pulsatile tinnitus is a rare condition with an often dramatic presentation. We present the case of a 70-year-old woman who presented with over two years' history of unilateral distressing objective pulsatile tinnitus. Carotid arteriography revealed a highly tortuous internal carotid artery. Computed tomography of the ipsilateral temporal bones showed a large jugular bulb. Internal jugular vein ligation under local anaesthetic yielded immediate resolution of her symptoms.
authors.affiliation: Norfolk and Norwich University Hospital, Norwich, UK. abdulmalik.aikoye@nhs.net
authors.forename: A A
authors.initials: AA
authors.lastname: Aikoye
authors.forename: T Y
authors.initials: TY
authors.lastname: Tang
authors.forename: F J
authors.initials: FJ
authors.lastname: Meyer
mesh_terms: D000368:Aged; D000779:Anesthetics, Local; D002340:Carotid Artery Diseases / Q000601:surgery*; D002343:Carotid Artery, Internal / Q000601:surgery*; D003250:Constriction; D005260:Female; D006801:Humans; D007601:Jugular Veins / Q000601:surgery*; D014012:Tinnitus / Q000601:surgery*; D014102:Torsion Abnormality / Q000601:surgery*
chemical_list: D000779:Anesthetics, Local