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Tom I. Abelson, MD
University Suburban Health Center Cleveland

JAMA. 1985;253(19):2830.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—

In the QUESTIONS AND ANSWERS section of the Dec 28, 1984, issue of JAMA,¹ a question was raised concerning long-term bilateral tinnitus in a 43-year-old man. The answer given by George H. Conner, MD is entirely correct, provided that the patient has had an audiogram that is within normal limits. The patient's tinnitus had been long lasting, but progressive. Only if the audiogram is normal can the tinnitus be considered idiopathic. If there is a typical high-tone sensorineural hearing loss with some recovery in the higher tones, and if there is a history of noise exposure, then acoustic trauma can be the explanation for both the tinnitus and the high-tone loss. However, if the patient has asymmetrical hearing loss or a decrease in the discrimination score, then diagnostic studies for other causes may proceed. Acoustic neuromas can result in tinnitus and can be very slow growing . . . [Full Text PDF of this Article]

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