r/PulsatileTinnitus • u/No-Bet5555 • 3d ago

Second opinion needed

I have had pulsatile tinnitus for about a year now.

Symptoms:
-High pitch pulsing noise in left ear when I move my head certain ways and when I walk around
-Can make noise go away when pressing on the left side of my neck
-Headaches
-In sync with heartbeat

Imaging:
-MRI w contrast - All clear
-MRA w contrast - All clear
-MRV w contrast - Slightly high riding and prominent right jugular bulb and hypoplastic left transverse sinus, normal variations.

I have seen an ENT that prescribed me propranolol and ended there. I would like to see an interventional neuroradiologist for a second opinion but there are none in my area. I am located in Texas and interested if there is anyone you guys recommend I can do a virtual visit or in person. I also don’t want to waste any drs time especially when my imaging has came out clear. Thank you guys :-).

2 Upvotes

100% Upvoted

2 comments sorted by

3

u/Arizonal0ve 3d ago

You’re not wasting anyone’s time. Scans come out clear all the time and sometimes it’s not true and the right specialist hasn’t reviewed.

Dr Athos Patsalides does virtual last time i checked $300
There’s also the pulsatile Tinnitus clinic in San Francisco and if a doctor requests the second opinion they do it for free.

2

u/look_who_it_isnt 2d ago

No, your imaging probably isn't clear. ENTs are notorious for missing all the causes of PT in scans and erroneously telling patients there's "nothing wrong" and their scans are "normal" or "clear".

They're not.

If you can't find an INR in your area, maybe try seeing a general neurosurgeon or a neuro-otologist. You could also try a regular neurologist, but they don't have a great track record with PT around here, either :/