Headaches, Hyperacusis, and Tinnitus
A 31-year-old female was referred to the audiology clinic by an otologist due to the patient report of headaches, tinnitus, and hyperacusis related to a hypersensitive central nervous system. The patient reported constant bilateral high-pitched “ringing” and “buzzing” tinnitus for approximately 6 years. Eighteen months prior to the referral, the patient began experiencing severe daily headaches, which were controlled by medication (Lyrica, topiramate, and hydrocodone) prescribed by the patient’s neurologist. Three months prior to the otology referral the patient noticed that sounds such as projector fans, public address systems, automobile air conditioning fans, and fluorescent lights triggered the uncontrollable headaches and increased the tinnitus. She also reported that these episodes of headaches and tinnitus interfered with her concentration. She denied any circumstances or changes in her health history associated with the increased headaches and tinnitus.