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February 02, 2021; 96 (5) Video NeuroImages

Postoperative Objective Tinnitus

Marie-Louise Kulas Søborg, Nina Imbæk, Mette Lindelof, William Kristian Karlsson
First published October 27, 2020, DOI: https://doi.org/10.1212/WNL.0000000000011126
Marie-Louise Kulas Søborg
From the Department of Neurology, University Hospital of Zealand, Roskilde, Denmark.
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Nina Imbæk
From the Department of Neurology, University Hospital of Zealand, Roskilde, Denmark.
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Mette Lindelof
From the Department of Neurology, University Hospital of Zealand, Roskilde, Denmark.
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William Kristian Karlsson
From the Department of Neurology, University Hospital of Zealand, Roskilde, Denmark.
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Postoperative Objective Tinnitus
Marie-Louise Kulas Søborg, Nina Imbæk, Mette Lindelof, William Kristian Karlsson
Neurology Feb 2021, 96 (5) 230; DOI: 10.1212/WNL.0000000000011126

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A 54-year-old man with recurrent frontal malignant glioma with invasive growth into the frontal sinus, skull base, nasal cavity, and right orbit developed concurrent rhinoliquorrhea, pneumocephalus, and objective tinnitus after tumor resection. The tinnitus was audible for both the patient and people in his vicinity (video 1). The sound was not pulse-synchronous and accentuated upon upright positioning. Tinnitus and rhinoliquorrhea remitted simultaneously after approximately 3 months, implying a causative iatrogenic dural leak. This phenomenon has not been described previously, with objective tinnitus typically being caused by vascular malformations, venous hum from the internal jugular vein, or myoclonus.1,2

Video 1

This video illustrates objective tinnitus, an intracranially produced sound audible to both patient and examiner.Download Supplementary Video 1 via http://dx.doi.org/10.1212/011126_Video_1

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No targeted funding reported.

Disclosure

The authors report no disclosures relevant to the manuscript. Go to Neurology.org/N for full disclosures.

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  • © 2020 American Academy of Neurology

References

  1. 1.↵
    1. Ward PH,
    2. Babin R,
    3. Calcaterra TC,
    4. Konrad HR
    . Operative treatment of surgical lesions with objective tinnitus. Ann Otol 1975;84:473–482.
    OpenUrl
  2. 2.↵
    1. Alicandri-Ciufelli M,
    2. Soloperto D,
    3. Palma S,
    4. Marrara A,
    5. Genovese E
    . A clockwork ear. Neuropediatrics 2012;43:146–148.
    OpenUrl

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