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A (Not So Happy) Pulsatile Tinnitus Whoosherversary

About this time last year, I began experiencing pulsatile tinnitus.  365 days ago, I didn't even know what pulsatile tinnitus was.  Yet, here I am, and here we are.  Still whooshing every other second.  That's a lot of whooshes. 

At first, the sound I heard was faint.  Like many of you, at the onset, I thought the whooshing was probably associated with a cold or sinus infection (even though, physically, I felt fine) or a result of changing air pressure since I'd just been on several long flights.  I convinced myself it would probably just go away. 

It didn't go away.  I started to worry and looked up my symptoms online.  Oh, boy.  And, just like that, the adventure to find the cause of my whoosh began.  Doctors galore. 

I've heard from many of you who've had pulsatile tinnitus anniversaries... one year, ten year, even thirty year anniversaries.  Pulsatile tinnitus anniversaries aren't easy.  

If this were a wedding anniversary, the first year anniversary would traditionally be celebrated with something "paper."  The last thing I want to do right now is celebrate, but in the spirit of "paper," I wrote a letter to the first doctor who took my pulsatile tinnitus seriously, to thank him. 

A doctor who takes pulsatile tinnitus seriously is reason to celebrate.

My whoosher wish --if I even get one-- is to fix the cause of my pulsatile tinnitus by this time next year. 

I hope you do, too. 

WhooshEr

Thu, February 25, 2010 | link          Comments

Poll Results: How Many Diagnostic Tests Have You Had In Attempt To Determine The Cause Of Your Whoosh?

36.6%   Zero (15 votes)

34%      One or Two (14 votes)

15%      Three, Four, or Five (6 votes)

10%      Five to Ten (4 votes)

5%        Ten or More (2 votes)

Total Votes: 41

Thanks for voting!  View results for this and previous polls on the Whooshers.com polls results page.

Don't forget to check out the latest Whooshers.com poll.

Wed, February 17, 2010 | link          Comments

Idiopathic Intracranial Hypertension

There are already a few posts and articles on this site about Idiopathic Intracranial Hypertension, yet another possible cause of pulsatile tinnitus.  Basically, the symptoms of the condition mimic those from a brain tumor, but no tumor is present.

Not all individuals with IIH experience whooshing, and vice versa.  But since some of you have written in to let us know that this was your eventual diagnosis, I thought we should take another look at it. 

Do any of you have IIH experiences you can share with the rest of us re symptoms, diagnosis, and treatment?  Please click on the Comments section below.  

The Intracranial Hypertension Research Center (IHRC) provides a well organized site with a list of IH symptoms, which includes pulsatile tinnitus.  

Many medical sites explain that IIH is most common in women of childbearing age who are overweight or obese.  It's a myth, however, that this is the only group affected.  Some men, skinny women and kids are affected, too.  I wonder if it's more difficult for individuals other than those "typically" affected to be diagnosed with IIH.  I imagine so.  

By the way, you may be familiar with "pseudotumor cerebri," or "benign intracranial hypertention."  Actually some of the resources on Whooshers are labeled under these names.  Well, according to IHRC, these names are becoming less accepted in the medical research community due to the fact that they may imply that the condition is not severe.  And according to the Mayo Clinic, if there's no explanation for the increased intracranial pressure, pseudotumor cerebri or benign intracranial hypertension is more frequently called "idiopathic intracranial hypertension." 

Makes sense to me.  To people suffering from this condition, I'm sure there is nothing "benign" or "pseudo" about what they're going through!

Diagnosis is sometimes tricky.  A recent Whooshers post about imaging reviewed a medical journal article which indicated that idiopathic intracranial hypertension (doctors there used the "benign" name, oops), often doesn't show up any abnormal imaging findings.  Something to think about if you have some of the symptoms of IIH AND you've had a bunch of tests that have not revealed the cause of your whooshing, or anything else. 

So, just some thoughts.  According to the sites above, your GP and a neuro-ophthalmologist may be good first stops to explore IIH symptoms.  Please leave comments below or write whooshers@gmail.com if you have info to share. 

Sun, February 14, 2010 | link          Comments

Tinnitus, Depression & Suicide

This post is dedicated to Former Greene County Virginia Sheriff William L. Morris.

The Richmond-Times Dispatch today reported some tragic news. 

A tinnitus sufferer, Mr. Morris committed suicide on January 28, 2010. 

In a note he left, he wrote:

"I hope that my death will help bring about some cure for those that suffer with tinnitus, by bringing attention to it. . . . It is important that my life will not be wasted."

Mr. Morris, we will continue to strive towards a tinnitus cure and more attention to all the symptoms -- physical and emotional -- of non-pulsatile and pulsatile tinnitus. 

Sadly, Mr. Morris is not alone in his despair.  Tinnitus is annoying, but to some sufferers, the sounds they hear are truly debilitating and life-altering.  These feelings of extreme torment are difficult --too difficult-- for some to describe and manage.  

But there's one thing we can all agree on: just because the distress is invisible does not mean it's "all in our heads."  Tinnitus is real.  

I didn't know Mr. Morris or what kind of treatment he had, but as a pulsatile tinnitus sufferer, I can understand the root of his despair.  It's very sad.  My condolences to his family.  I'm sure they miss him terribly.  

If you or a tinnitus sufferer you know is experiencing severe sadness or depression, we hear you.  Please tell your doctor.  There are resources available that can help.

UPDATE: Another article about Mr. Morris is posted here.

Mon, February 8, 2010 | link          Comments

Pulsatile Tinnitus: Rare or Medium Rare?

According to the American Tinnitus Association, tinnitus affects over 50 million Americans and over 250 million people worldwide. 

But when you talk about pulsatile tinnitus, the numbers get much smaller.  Some groups estimate that only 3% of all tinnitus sufferers have pulsatile tinnitus.  That means in a room full of 100 tinnitus sufferers, only 3 will have pulsatile tinnitus. Of the three, how many hear the whooshing sound vs another pulsing sound?  Who knows.

As an individual with pulsatile tinnitus, I’ll acknowledge that it is rare (and maybe I should buy a lottery ticket).  I’ll even concede that, since there are so many more individuals with non-pulsatile tinnitus, it’s understandable why those of us with pulsatile tinnitus may not get that much attention. 

Wait a second.

250 million tinnitus sufferers x 3% = 7,500,000 pulsatile tinnitus sufferers worldwide!

That’s right, 7,500,000 of us.

I don’t know about you, but when I was diagnosed, I sure didn’t feel like one of 7,500,000.  The lack of available information and support for pulsatile tinnitus sufferers caused me a lot of stress and anxiety; for a while I felt a bit like I was the only one in the universe with pulsatile tinnitus.

If it weren’t for the Internet, I’d be the only pulsatile tinnitus sufferer I know. 

But since the launch of this site in July 2009, over 3,450 of you (unique vistors, for the techie geeks) from all over the world have visited Whooshers.com and viewed over 10,100 pages! 

This may not really seem like a lot, especially compared to the big numbers above, but when the site was launched I never imagined this many whooshers would find it.  The numbers are growing each day.  

I’m sure some of you are family members, friends, and doctors of pulsatile tinnitus patients.  Others of you are just bored at work, and a few of you found yourself here, immediately realized you’d made a typo in your search engine or something, and are off reading another Web site.  But my hunch is most of you are individuals with pulsatile tinnitus.  Even if only half of the 3,450 Whooshers.com visitors are pulsatile tinnitus sufferers, I’d say we have a large enough group to make sure that pulsatile tinnitus gets more attention in medical offices, research labs and support groups in the days and years to come. 

What do you say?

Mon, February 1, 2010 | link          Comments


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A forum for people experiencing a constant and rhythmic whooshing, pulsing or otherwise heartbeat-like sound, often diagnosed as pulsatile tinnitus.

RESOURCES

Find a Neurotologist: American Neurotological Society (ANS) Membership Roster 2010-2011, by state. (This PDF file will download when you click here)

Blog: Tales From Clark Street

Web Site: American Tinnitus Association

Web Site: British Tinnitus Association

Web Site: Tinnitus Association of Canada

Article: "Tinnitus," eMedicineHealth.com

Article: "How I Struggled with Tinnitus," The Story of Actor Graham Cole, Daily Mail Online.

Article: "Vital Signs: An Unwelcome Ringing," by Dr. Christopher Linstrom, Discover Magazine, April 2010. (About a cured pulsatile tinnitus patient! NEW!)

Article: "Technique Can Pinpoint Tinnitus," BBCNews.com, October 3, 2009

Article: "Tinnitus: The Noise That Annoys," The Independent, October 13, 2009

Article: "Neuroradiologic Assessment of Pulsatile Tinnitus," Department of Otolaryngology Head and Neck Surgery Loyola University Medical Center, Maywood, IL: Dr Kircher and Dr Leonetti; Department of Otolaryngology-Head and Neck Surgery Henry Ford Health System, Detroit, MI: Dr Standring; Presented at the Annual Meeting of the American Academy of Otolaryngology-Head Neck Surgery, Chicago, IL. Sept. 22-24, 2008. (NEW! CLICKING THIS LINK WILL DOWNLOAD THE PDF FILE)

Article: "Imaging of Tinnitus: A Review," Jane L. Weissman, MD and Barry E. Hirsch, MD, Radiology, August 2000.

Article: "Brain AVM," (arteriovenous malformation), MayoClinic.com

Article: "Chiari Malformation," MayoClinic.com

Article: "Ménière's Disease," National Institute on Deafness and Other Communication Disorders (NIDCD)

Article: "TMJ Disorders," MayoClinic.com

Article: "Pseudotumor Cerebri," (also called Benign Intracranial Hypertension) MayoClinic.com

Article: "Pulse-Synchronous Tinnitus," The Intracranial Hypertension Research Foundation

Article: "Diagnosis and Cure of Venous Hum Tinnitus," Laryngoscope, Chandler JR, 93(7):892-5, July 1983.

Article: "Glomus Tympanicum," The New England Journal of Medicine, Volume 362:e66, Number 22, June 3, 2010. (NEW!)

Article: "Pulsatile Tinnitus Cured by Mastoidectomy," Duvillard C, Ballester M, Redon E, Romanet P., Department of Otolaryngology-Head and Neck Surgery, Hôpital Général, Dijon, France, Ann Otol Rhinol Laryngol, September 2004.

Article: "Pulsatile Tinnitus," Don McFerran FRCS Consultant Otolaryngologist Essex County Hospital, Colchester, British Tinnitus Association, October 2007.

Article: "Carotid Bruit: What is It?" By Jules Pop, Associated Content, December 18, 2007

Article: "That Noise Wasn't Just Tinnitus," By Sandra G. Boodman, Special to The Washington Post, July 7, 2009

Article: "The 'Rare' Disease That Isn't," By Thomas M. Burton, The Wall Street Journal, June 27, 2009

Video: "A Rare Disease That May Be Underdiagnosed," By Thomas M. Burton, June 26, 2009 (Hear an example of a whooshing sound in this short video)

Audio: Having trouble describing the sound you hear to others? Listen to this collection of sounds that whoosh and see if you can find a match to yours! Demonstrations: Heart Sounds & Murmurs, from the University of Washington Department of Medicine

Audio: Representation of Tinnitus Sounds (Contains some pulsatile tinnitus sounds), British Tinnitus Association

Audio: White Noise MP3s.com

Audio: SimplyNoise.com