A thumping sound in the ear is clinically considered to be pulsatile tinnitus, which is mainly caused by the sound of fluctuating blood vessels around the ear and in the head and neck that are transmitted to the ear in the same rhythm as the heart fluctuations. Clinically, this disease has the following causes: First, the lesions and malformations of the blood vessels in the neck, such as jugular vein bullae, mastoid vein malformations, carotid artery stenosis, arteriovenous fistulas in the neck, and the significant compression of the internal jugular veins due to cervical spondylosis, may cause this change. In the second case, some hemodynamic changes in the neck, such as severe anemia, hypertension, hyperthyroidism, and some arteriosclerosis of the neck, may lead to hemodynamic changes in the neck, thus inducing pulsatile tinnitus. Some patients are also triggered by emotional stress, mental tension, and excessive fatigue.