The objective pulsatile tinnitus caused by uterine myoma associated with metrorrhagia and anemia

Abstract

Pulsatile tinnitus is synchronous with the pulse, and the causes are classified into local diseases and systemic diseases.
Systemic disease-induced pulsatile tinnitus is associated with hemodynamic changes and may be caused by anemia, hyperthyroidism, beri-beri (vitamin B1 deficiency), pheochromocytoma, and pregnancy. Systemic disease-induced pulsatile tinnitus is very rarely heard objectively. In this article, we reported a patient with objective pulsatile tinnitus in the left ear caused by uterine myoma associated with metrorrhagia and anemia. The tinnitus improved after uterine myomectomy and improvement of anemia.