Resolution of Pulsatile Tinnitus Following an Upper Mediastinal Lymph Node Resection Article

Full Text via DOI: 10.1097/SMJ.0b013e3181d39021 PMID: 20224494 Web of Science: 000278289400024

Cited authors

  • Wang, Yi-Zarn; Boudreaux, J. Phillip; Campeau, Richard J.; Woltering, Eugene A.


  • External compression of extracranial/mediastinal vessels has not been reported as an etiology of pulsatile tinnitus. We present a case in which compression of extracranial vasculature led to long term pulsatile tinnitus which resolved completely with surgical resection of metastatic lymph nodes. This should be included in the list of differential diagnoses when dealing with any patient with a complaint of pulsatile tinnitus. Patients with advanced carcinoid cancer often present with distant metastases to their left superior mediastinum and supraclavicular lymph node chain. We believe a careful search for nodal metastases compressing vascular structures in such patients is warranted as debilitating pulsatile tinnitus may be cured by a simple surgical procedure.

Publication date

  • 2010

Published in

International Standard Serial Number (ISSN)

  • 0038-4348

Start page

  • 374

End page

  • 377


  • 103


  • 4