Shit...
I traced this one down and fixed it a while back, but I've forgotten what I did. Will look into it and get back to you.
Edit: I uninstalled it so I can't go digging through my settings. 
I did however look into the problem again, three things to do. Disable hardware sound, switch to 16 bit, and lower the detail settings. All or a combination of them are required, it's a fubar game that used a screwy engine with subpar support by later Nvidia cards and drivers. You may have to zero out the detail, but I'd go notch by notch to begin with, you probably have the sound glitch as well from your description.