Neurogenic tinnitus with cerebral tinnitus and hearing loss may be a symptom due to intracranial vascular abnormalities, tumors, inflammation and other invasions of the auditory nerve pathways. Neurogenic tinnitus refers to subjective tinnitus caused by lesions of the cochlea and its nerve pathways, in addition to diseases of the external ear canal and the middle ear, such as otitis media and tympanic membrane rupture. Tinnitus is similar in nature to tinnitus, except that the self-conscious sound comes from within the brain rather than from the ear. The symptoms can be associated with intracranial vascular abnormalities, such as vascular malformations like aneurysms, arteriovenous fistulas, and distal blood vessels such as narrowing or occlusion of the internal carotid artery. Tumors such as acoustic neuromas, lipomas, and other tumors that press and invade, immune or inflammatory conditions such as acoustic neuritis, can also cause the above symptoms. The symptoms are also closely related to anxiety, depression and other mental conditions. While treating the underlying causes, it is important to maintain physical and mental health, and to pay attention to rest, so consult your physician for specific advice.