Silencing the Noise: State-of-the-Art Neuroendovascular and Cardiology Management of Pulsatile Tinnitus

Pulsatile tinnitus (PT) is a unique clinical condition often attributed to various vascular anomalies, making it of increasing interest to specialists outside the traditional realms of otolaryngology and neurology. Endovascular treatment has recently emerged as a key management tool for patients suffering from PT, particularly in cases associated with venous sinus stenosis or arteriovenous shunting. Understanding the indications, procedural risks, and long-term outcomes associated with endovascular treatment is important to ensure timely referral and comprehensive care for patients presenting with PT. Cardiologists should be vigilant for signs and symptoms of PT, as PT can be an early indicator of vascular abnormalities and other cardiovascular conditions. Once identified, cardiologists can play an essential role in the timely diagnosis and treatment of PT, differentiating the etiology and ensuring that the patient receives the proper prompt referrals for imaging and endovascular assessment if needed.