The possible causes are many, but all indicate that a component has deteriorated to the extent that the characteristic is marginal for operation.
Usually it would be a capacitor or a resistor, so that gives you about 500 possibilities.
There is simply no way that it could be remotely diagnosed any closer, but if the sound continues with the screen black, its in the horizontal deflection/EHT section most probably, if not it's probably related to the power supply section or literally any of the dependencies, the interconnection via complex protection circuitry can be very hard to locate the exact source.