I am a 33 yr old female in good health. For the past couple of months I have noticed a very disturbing noise in my head. The only time I can hear it is at night and I have to lay on my stomach with my head turned to the right and then I can hear it in my left ear that is in my pillow. What it sounds like is a squealing noise that pulses to my heart, seems to go up in pitch, then fades out completely after about 20 beats. To my uneducated ear, it sounds like an aneurysm filling with blood or something (the changing pitch as it fills and stopping once filled). Maybe that sounds far fetched - I don't know. I went to my doctor in January and they sent me to a ENT - said it was sinuses. He did a ear exam and also, at my insistance, a brain MRI. The MRI results were normal, according to the radiologist. I also have chronic neck pain and stiffness. I'm wondering if since it's only when I'm in that certain position if it could be coming from my neck? Could I have an aneurysm in my neck? What else could make such a strange sound? Could I have one in my head that didn't show up on MRI? I'm hoping to get an MRI of my neck soon (ordered by the ENT doc - talking to him tomorrow) and then ask for a referral to a neurologist.
Have you ever heard of these symptoms? The sound is definitely real, but I ONLY hear it when I lay in the position I mention.
In certain situations, symptoms from vascular problems can be positional. For instance, the vertebral arteried in the neck can be transiently compressed on head turns to the side, although this usually occurd in older people with neck arthritis
A neck vascular ultrasound with positional maneouvres like you describe could evaluate this. An MR angiogram of the neck may also show vascular abnormalities but cannot assess relationship to position
If your symptoms are pulsatile they may be what is called pulsatile tinnitus - although this is not usually postional
abnormalities in the jugular fossa (where the main veins exit from the skull) should be evaluated for - this is usually just by MRI of the skull base
Alternatively, if the above tests arenegative, an inner ear problem may be the cause , and a visit to a neuro-otologist may be in order
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