u/stvnnnnnn

I recently had an evaluation at a pulsatile tinnitus clinic, and after reviewing my imaging they told me there was no dangerous vascular cause (no mass, hemorrhage, stroke, arterial abnormality, or middle ear mass).

Their impression was that my pulsatile tinnitus is most likely venous, specifically from narrowed jugular veins with increased flow through the condylar veins.

The next step would be seeing a neurointerventional radiologist for a catheter venogram with venous manometry and possibly a balloon test occlusion. If the condylar veins are confirmed as the source, they said coil embolization could be an option.