Tinnitus is a common symptom encountered by otolaryngologists. Pulsatile ti
nnitus is rare and can present a diagnostic challenge. Establishing a diagn
osis is important, because pulsatile tinnitus may indicate serious intracra
nial or extracranial disease. A unique case of pulsatile tinnitus caused by
cervical artery dissection is presented, along with the differential diagn
osis and treatment.