Benign Intracranial Hypertension (BIH): Also known as idiopathic intracranial hypertension, this condition often presents with pulsatile tinnitus, which is synchronized with the patient's heartbeat. It is more common in young, obese women.

Middle Ear Problems: Conditions such as otosclerosis, a middle ear infection, or a perforated eardrum can cause pulsatile tinnitus. The tinnitus is often unilateral and can be accompanied by hearing loss or discomfort in the affected ear.
Vascular Tumors or Malformations: Abnormalities like glomus tumors (paragangliomas) or arteriovenous malformations (AVMs) can cause pulsatile tinnitus due to the abnormal flow of blood through these lesions.
Carotid Artery Stenosis or Atherosclerosis: Narrowing or hardening of the carotid artery can lead to turbulent blood flow, which may be perceived as pulsatile tinnitus.

Giant Cell Arteritis: Although less common, this condition can present with tinnitus among other symptoms like headache and visual disturbances. It is crucial to diagnose promptly to prevent complications such as blindness.
Dural Arteriovenous Fistula (DAVF): A rare condition where there is an abnormal connection between arteries and veins in the covering of the brain, leading to pulsatile tinnitus. It requires urgent treatment to prevent serious complications.
Acoustic Neuroma: A benign tumor on the nerve connecting the inner ear to the brain, which can cause tinnitus, hearing loss, and balance problems. Early diagnosis is essential for effective management.

Pseudotumor Cerebri Syndrome (PTCS) with Venous Sinus Stenosis or Thrombosis: A condition that mimics a brain tumor but is actually due to increased pressure within the skull without a tumor. Venous sinus stenosis or thrombosis can be associated with this condition and cause pulsatile tinnitus.
High Jugular Bulb: An anatomical variation where the jugular bulb is situated higher than usual, potentially causing pulsatile tinnitus due to its proximity to the middle ear structures.
Aberrant Internal Carotid Artery: A rare congenital anomaly where the internal carotid artery is located in the middle ear, which can cause pulsatile tinnitus due to the close proximity of the artery to the tympanic membrane.