Patients with cerebral tinnitus should first rule out the presence of organic brain pathology, which can be initially determined by blood glucose, lipids and carotid ultrasound. If brain disease is suspected, further brain CT, magnetic resonance imaging (MRI), angiography and, if necessary, cerebral angiography can be performed to confirm the diagnosis. If cervical spondylosis is suspected, X-rays, CT, MRI, etc. should be performed to look for lesions in the cervical spine and compression of the spinal cord.
If none of these tests are abnormal, then tinnitus is considered to be related to lifestyle and psychological factors and, if necessary, relevant psychiatric tests such as scales should be carried out.
Treatment of tinnitus is generally allopathic, with most remissions following treatment of the primary disease, and additional treatments such as vasodilators, anti-anxiety and depression medications, and acupuncture can be applied.