Tinnitus that stops when the neck is pressed may be vascular tinnitus, which is commonly associated with vascular malformations. Vascular pulsatile tinnitus is a relatively rare type of tinnitus, secondary to arterial and venous diseases, and is caused by abnormal vascular structure and accelerated blood flow, which leads to blood flow disorders. Arterial diseases include carotid atherosclerosis, tortuous internal carotid arteries, intracranial vascular malformations, and anemia. Venous diseases include tympanic bulboma, jugular vein bulboma, facial nerve hemangioma and so on. Patients usually have no obvious symptoms in the early stage, and as the disease develops, patients may experience recurrent rough, sharp, buzzing machine-like tinnitus, which lasts for a long period of time, with some patients experiencing a brief cessation of tinnitus after pressing the veins in the neck. Some patients may also be accompanied by hearing loss, headache, a feeling of stuffiness in the ears, and vertigo. Once the tinnitus stops when the neck is pressed, the patient should actively cooperate with the doctor to carry out relevant examinations and make a clear diagnosis.