Management of neurogenic tinnitus with associated myofascitis and hypertriglyceridemia

Background: Tinnitus is a common neurological symptom that can significantly impact quality of life, particularly when accompanied by dizziness and musculoskeletal complaints. This case illustrates the diagnostic approach and management of neurogenic tinnitus in a middle-aged female patient. Case Presentation: A 51-year-old female presented with left-sided tinnitus and episodic dizziness for three months, along with chronic right shoulder pain. Comprehensive neurological and audiological evaluation was performed. The patient was successfully managed with neurotrophic support, analgesic therapy, and hyperbaric oxygen therapy. Conclusion: Multimodal therapy including betahistine mesylate, mecobalamin, and hyperbaric oxygen therapy can effectively manage neurogenic tinnitus symptoms and improve patient quality of life.