{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T15:14:38Z","timestamp":1767971678486,"version":"3.49.0"},"reference-count":14,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2008,7,18]],"date-time":"2008-07-18T00:00:00Z","timestamp":1216339200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Head &amp; Neck"],"published-print":{"date-parts":[[2009,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background.<\/jats:title><jats:p>Pulsatile tinnitus is an uncommon otologic symptom, which may be the presenting complaint of a potentially devastating pathology. Understanding this manifestation as a possible symptom of a significant vascular abnormality is crucial to guide management and treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods and Results.<\/jats:title><jats:p>We describe a 38\u2010year\u2010old woman with sudden\u2010onset right\u2010sided pulsatile tinnitus. A right extracranial internal carotid artery (ICA) dissection was diagnosed with MRI\/magnetic resonance angiography (MRA) and treated with anticoagulation. Follow\u2010up MRI\/MRA demonstrated complete resolution. Two months later, left\u2010sided pulsatile tinnitus evolved. An MRI\/MRA of the neck demonstrated left\u2010sided extracranial ICA dissection. She was treated in a similar fashion and a repeat MRI\/MRA demonstrated its resolution.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion.<\/jats:title><jats:p>Spontaneous extracranial ICA dissection may present with pulsatile tinnitus as the only symptom in 4% to 50% of patients. Subsequent evolution of a contralateral dissection is even more uncommon. Generally, treatment of this phenomenon is conservative utilizing anticoagulation or aspirin; however, surgical intervention may be necessary. \u00a9 2008 Wiley Periodicals, Inc. Head Neck 2009<\/jats:p><\/jats:sec>","DOI":"10.1002\/hed.20851","type":"journal-article","created":{"date-parts":[[2008,7,18]],"date-time":"2008-07-18T15:49:49Z","timestamp":1216396189000},"page":"269-273","source":"Crossref","is-referenced-by-count":11,"title":["Pulsatile tinnitus: A harbinger of a greater ill?"],"prefix":"10.1002","volume":"31","author":[{"given":"Benjamin D.","family":"Liess","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kevin W.","family":"Lollar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sidney G.","family":"Christiansen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dale","family":"Vaslow","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2008,7,18]]},"reference":[{"key":"e_1_2_4_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0733-8619(18)31177-0"},{"key":"e_1_2_4_3_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.24.11.1678"},{"key":"e_1_2_4_4_2","doi-asserted-by":"publisher","DOI":"10.1002\/ana.410190204"},{"key":"e_1_2_4_5_2","doi-asserted-by":"publisher","DOI":"10.1258\/002221504322927955"},{"key":"e_1_2_4_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF00315659"},{"key":"e_1_2_4_7_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.0000169919.73219.30"},{"key":"e_1_2_4_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200011000-00028"},{"key":"e_1_2_4_9_2","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.216.2.r00au45342"},{"key":"e_1_2_4_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00330-006-0346-7"},{"key":"e_1_2_4_11_2","first-page":"831","article-title":"Helical CT for the follow\u2010up of cervical internal carotid artery dissections","volume":"19","author":"Leclerc X","year":"1998","journal-title":"AJNR Am J Neuroradiol"},{"key":"e_1_2_4_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1076-6332(00)80006-9"},{"key":"e_1_2_4_13_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM200103223441206"},{"key":"e_1_2_4_14_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1468-2982.1994.1401033.x"},{"key":"e_1_2_4_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2005.06.029"}],"container-title":["Head &amp; Neck"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fhed.20851","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/hed.20851","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,10]],"date-time":"2023-10-10T17:11:54Z","timestamp":1696957914000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/hed.20851"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2008,7,18]]},"references-count":14,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2009,2]]}},"alternative-id":["10.1002\/hed.20851"],"URL":"https:\/\/doi.org\/10.1002\/hed.20851","archive":["Portico"],"relation":{},"ISSN":["1043-3074","1097-0347"],"issn-type":[{"value":"1043-3074","type":"print"},{"value":"1097-0347","type":"electronic"}],"subject":[],"published":{"date-parts":[[2008,7,18]]}}}