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hypertension Tinnitus Delayed Onset - Bva Link With Some Info
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carlie
http://www.va.gov/vetapp12/Files3/1217299.txt
"As a final matter, the Board has considered certain language in Training Letter 10-02, a copy of which the Veteran has submitted. The Training Letter states, "Tinnitus is a symptom that is associated with many conditions, including acute noise exposure and noise-induced hearing loss, and that sensorineural hearing loss is the most common cause of tinnitus. However, the etiology of tinnitus often cannot be identified, because there are so many potential causes that it is impossible to select one. In addition to sensorineural hearing loss, other known causes are Meniere's disease, head injury (including traumatic brain injury), otosclerosis, cerebrovascular disease, neoplasms, numerous types of ototoxic medications, hypertension, kidney disease, dental disorders, and many other medical conditions." The training letter also notes that delayed-onset tinnitus must also be considered.
This Training Letter is merely an interpretative rule that lays out guidelines which serve to inform and educate adjudicators as to the possible causes of tinnitus, and they direct that the raters develop the record. See Nat'l Org. of Veterans' Advocates, Inc. v. Sec'y of Veterans Affairs, 260 F.3d 1365, 1375 (Fed.Cir.2001). It does not purport to establish any medical presumptions, nor is it considered to be substantive medical evidence. See e.g., Dyment v. West, 13 Vet. App. 141 (1999); Nolen v. West, 12 Vet. App. 347 (1999). "
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