HSC Section 8_April 2017

PREVALENCE OF PULSATILE TINNITUS

FIG. 1.

Flow of patients with prevalence of migraine and tinnitus.

Descriptive statistics, x 2 test, and two-sided t test with unequal variances were performed. A p value < 0.05 was significant.

same (20.2% versus 18.1%, p ¼ 0.62). The prevalence of PT among all migrainers was 1.9%. Of the 145 patients with migraine and tinnitus, 129 were excluded (Fig. 1). The remaining 16 were assessed for PT improvement with migraine treatment. Average age was 45.4 years (range, 31.8–55.2), follow-up was 351 days (64–1,366 days). Fourteen out of 16 were white. Seven out of 16 described the PT as episodic whereas 4 reported constant PT. Eleven of the 16 patients reported improvement in PT with migraine treatment. There were no differences in demographics, sensorineu- ral hearing loss, quality, or laterality of tinnitus between those who improved and those who did not. All patients were recommended the diet. In addition to diet, seven patients were prescribed antimigraine medi- cations. Decision to start a medication, type, and dosing varied by patient history and side effect profile. Table 1

RESULTS

Six thousand four hundred fifty-three patients were observed during the study time period. The prevalence of migraine, tinnitus, and migraine with tinnitus is reported in the figure. All 521 tinnitus patients were reviewed and 20.9% reported PT with a PT prevalence of 1.7% among all patients. After excluding migraine patients with potential objective tinnitus (n ¼ 36), significantly more migrainers reported history of any tinnitus as compared with nonmigrainers (9.3% versus 7.0%, p ¼ 0.007). Of those with tinnitus, the percentage reporting PT migrainers as compared with nonmigrainers was the

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