If left untreated, vascular pulsatile tinnitus may lead to structural vascular lesions that can cause serious consequences such as intracranial hemorrhage, cerebral infarction, and intracranial hypertension. Vascular pulsatile tinnitus is a kind of tinnitus caused by arterial or venous lesions, which can be caused by atherosclerosis, tympanic bulboma and other diseases. The main symptom is a rough, buzzing, machine-like tinnitus with a rhythm roughly in line with the heartbeat. Clinical treatment of vascular pulsatile tinnitus is to clarify the cause of the disease, symptomatic treatment, according to the cause of the choice of drug therapy, surgical treatment, interventional therapy and other treatment modalities. After active treatment, tinnitus symptoms can be relieved and the prognosis is good. If the disease worsens without timely treatment, it may lead to serious diseases such as intracranial hemorrhage, cerebral infarction and intracranial hypertension. If vascular pulsatile tinnitus occurs, you should go to the hospital in time and undergo hospital-related examinations to clarify the cause of the disease and actively cooperate with the doctor’s treatment.