Comprehensive Stroke Certification Fees and Benefits. The Joint Commission and American Heart Association / American Stroke Associationâs Comprehensive Stroke Center Certification includes a new and exclusive suite of benefits. The annual fee for the first year is prorated depending on the date of application for certification.
1 When the bones of the middle ear do not vibrate and become stiff, it can give rise to a hissing and vibrating sound in the ears. 2  Rupture of ear drum either due to trauma or due to loud sound can cause vibration in the ear during the initial stage. 3  Infection in the ear, cold and sinusitis can also cause vibration.
Temporomandibular joint abnormalities may cause a repeated clicking sound in the ear. Damage to the vestibulocochlear nerve: Damage to the vestibulocochlear nerve responsible for transmitting sound from the ear to the brain may cause tinnitus. Causes may include drug toxicity or a tumor (for example, acoustic neuroma). Meniere's disease, which is associated with hearing loss and vertigo also may cause tinnitus.