Question : Have you ever observed it in a patient? What would cause the
"vascular anomalies" to be loud enough to be observed by another person?
Wouldn't that have to be pretty loud? Do you normally hold a stethoscope
to the ear?
I have not seen a case like this, but I read about them while working on
my Master's thesis. A vascular abnormality can arise to to blockage or
narrowing of an artery or capillary in the middle ear region. This type
of vascular condition can cause a throbbing of the vessel which can
generate a pulsating sound. If strong enough, it can be heard by the
patient. Physicians who see patients complaining of pulsative tinnitus
should use a stethoscope to see if the tinnitus is audible and hense