The pulsatile tinnitus causes are associated with a disruption in the functionality of the hearing system.
This is a condition which can be heard by other parties apart from the person that is experiencing the direct problem.
The noise that is produced is actually rhythmic and that leads to the classic symptoms.
The noise will mimic the heartbeat in terms of frequency.
It can be a very frightening condition for the patient especially if they have no prior knowledge of how it could have developed.

1. The prevalence and landscape of the condition: It is estimated that about 3% of people with normal tinnitus will progress onto objective tinnitus.
   These figures might appear to be negligible but in a population of millions, the numbers are staggering.
   The rarity of the condition should not lead to complacency on the part of the people that are dealing with the patient.
   This is not a condition that is yet on epidemic levels but the health authorities have to be wary of the dangers that it represents.
   
2. Looking for the classic signs of the condition: The development of the condition is associated with the production of a low pitched booming or thumping.
   The pulsatile tinnitus causes can lead to serious alarm in the community.
   The sounds will coincide with respiration.
   On the other hand the patient may emit a high pitch rhythmic sound from the ears.
   The beat can either be singular or multi faceted.
   It is said that the contractions within the middle ear are responsible for the rapid clicking sensation.
   There could be low volume ear hums which are not audible to the examiner.
   These are associated with blood flow in the veins or Ménière's disease.
   
3. The dual pulsatile tinnitus causes: Broadly speaking there are two causes of the condition.
   The first issue relates to changes in the flow of blood from the vessels towards the ears.
   The person will become aware of blood flow near the ears.
   It is not a life threatening condition in most cases but you need to remain vigilant in order to ensure that nothing goes wrong.
   There are certain factors that you will need to look at right from the beginning in order to ensure that there is adequate protection for the patient from the condition.
   
4. The head areas and the blood flow: In the cases of pulsatile tinnitus, there will be an increase in the blood flow near the neck and towards the base of the skull.
   If you undertake strenuous exercise then it is possible that you will develop these conditions.
   The veins may be too narrow such that you suffer from localized imbalances in the blood.
   In cases of turbulent blood flow the patient will suffer from atherosclerosis.
   The arteries can harden and a punctured ear drum might mean that you are more able to hear the sounds within the body as opposed to those that come from external sources.
   The regulation of the blood flow might be one of the steps that you take in order to control the onset of the condition.