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A Case of Pulsatile Tinnitus Related to Idiopathic Intracranial Hypertension

대한이비인후과학회지-두경부외과학 2020년 63권 9호 p.422 ~ 426
배종원, 이규엽, 유명훈, 정다정,
소속 상세정보
배종원 ( Bae Jong-Won ) - Kyungpook National University School of Medicine Department of Otorhinolaryngology-Head and Neck Surgery
이규엽 ( Lee Kyu-Yup ) - Kyungpook National University School of Medicine Department of Otorhinolaryngology-Head and Neck Surgery
유명훈 ( Yoo Myung-Hoon ) - Kyungpook National University School of Medicine Department of Otorhinolaryngology-Head and Neck Surgery
정다정 ( Jung Da-Jung ) - Kyungpook National University School of Medicine Department of Otorhinolaryngology-Head and Neck Surgery

Abstract


Idiopathic intracranial hypertension (IIH) is a disorder that commonly occurs in obese young women of childbearing age and is characterized by symptoms such as pulsatile tinnitus, dizziness, headache, nausea, vomiting, and visual loss without any structural or vascular abnormalities in the intracranial cavity. We recently experienced a case of a 33-year-old obese woman who presented with right-sided pulsatile tinnitus, which is an early symptom for IIH. The patient was successfully treated with weight reduction and carbonic anhydrase inhibitor (acetazolamide). Pulsatile tinnitus requires thorough diagnosis and examination because it can be cured if the anatomical or functional cause is identified and treated. When obese women of childbearing age present with pulsatile tinnitus at the otorhinolaryngology outpatient department, treatment for IIH should be initiated after appropriate examination and diagnosis as pulsatile tinnitus may be the only symptom for IIH.

키워드

Acetazolamide; Female; Idiopathic intracranial hypertension; Obesity; Pulsatile tinnitus

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