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CASE STUDY
SIGMOID SINUS DIVERTICULUM WITH
PERISINUS PNEUMATIZATION CAUSING
PULSATILE TINNITUS: A RARE ENTITY
1
Department of Neurotology, Queen Elizabeth University Hospitals, Birmingham, U.K.
A - Research concept and design; B - Collection and/or assembly of data; C - Data analysis and interpretation; D - Writing the article; E - Critical revision of the article; F - Final approval of article;
Publication date: 2017-12-31
Corresponding author
Caroline Szczesny
Caroline Szczesny, e-mail: carolineyolande.szczesny@nhs.net mailing address : 2 Salisbury Mews, London, UK SW6 7DS
Caroline Szczesny, e-mail: carolineyolande.szczesny@nhs.net mailing address : 2 Salisbury Mews, London, UK SW6 7DS
J Hear Sci 2017;7(4):47-52
KEYWORDS
pulsatile tinnitus (PT)venous humsigmoid sinus diverticulum (SSD)endovascular coilingsigmoid sinus wall reconstructiontransmastoid surgerysigmoid sinus wall dehiscence (SSWD)sinus decompressionidiopathic intracranial hypertension (IIH)
ABSTRACT
Tinnitus is a bothersome symptom with various etiologies. Pulsatile tinnitus constitutes only a small percentage of tinnitus types and is due
to a vascular pathology close to the inner ear which causes a sensation of noise.
Many vascular lesions are associated with pulsatile tinnitus: paraganglionoma, persistent stapedial artery, a vascular loop in the internal auditory meatus or cerebello-pontine angle, carotid-vertebral stenosis, and arterio-venous malformation.
We report one case of pulsatile tinnitus that originated in a venous diverticulum of the sigmoid sinus and which was transmitted to the inner
ear through perisinus pneumatisation. Treatment options for this condition are discussed, with insights from the literature.
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