Current Issue
Volumes and Issues
For Authors
Manuscript Guidelines
Review Process
Conflict of Interest
Copyright
About the Journal
Editorial Board
Aim and Scope
Policy and Ethical Guidelines
Promotion of the Journal
Print-Version Subscription
Publisher and Contact Information
Contact Information
Sign in as an AUTHOR/REVIEWER
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.
REFERENCES (17)
1.
Dong C, Zhao PF, Yang JG, Liu ZH, Wang ZC. Incidence of vascular anomalies and variants associated with unilateral venous pulsatile tinnitus in 242 patients based on dual-phase contrast-enhanced computed tomography. Chinese Medical Journal, 2015 Mar 5;128(5):581.
2.
Eisenman DJ, Teplitzky TB. Surgical treatment of tinnitus. Neuroimaging Clinics of North America, 2016 May 31;26(2):279-88.
3.
Eisenman DJ. Sinus wall reconstruction for sigmoid sinus diverticulum and dehiscence: a standardized surgical procedure for a range of radiographic findings. Otol Neurotol, 2011 Sep 1;32(7):1116-9.
4.
Grewal AK, Kim HY, Comstock III RH, Berkowitz F, Kim HJ, Jay AK. Clinical presentation and imaging findings in patients with pulsatile tinnitus and sigmoid sinus diverticulum/dehiscence. Otol Neurotol, 2014 Jan 1;35(1):16-21.
5.
Guo P, Wang WQ. Degree of sigmoid sinus compression and the symptom relief using magnetic resonance angiography in venous pulsating tinnitus. Clinical and Experimental Otorhinolaryngology, 2015 Jun;8(2):111–6.
6.
Harvey RS, Hertzano R, Kelman SE, Eisenman DJ. Pulse-synchronous tinnitus and sigmoid sinus wall anomalies: descriptive epidemiology and the idiopathic intracranial hypertension patient population. Otol Neurotol, 2014 Jan 1;35(1):7-15.
7.
Heller AJ. Classification and epidemiology of tinnitus. Otolaryngologic Clinics of North America, 2003 Apr 30;36(2):239-48.
8.
Hou ZQ, Han DY. Pulsatile tinnitus in perimenopausal period. Acta Oto-laryngol, 2011 Aug 1;131(8):896-904.
9.
Liu Z, Chen C, Wang Z, Gong S, Xian J, Wang Y, Liang X, Ma X, Li Y. Sigmoid sinus diverticulum and pulsatile tinnitus: analysis of CT scans from 15 cases. Acta Radiologica, 2013 Sep;54(7):812-6.
10.
Mehall CJ, Wilner HI, LaRouere MJ. Pulsatile tinnitus associated with a laterally placed sigmoid sinus. Am J Neuroradiol, 1995 Apr 1;16(4):905-7.
11.
Otto KJ, Hudgins PA, Abdelkafy W, Mattox DE. Sigmoid sinus diverticulum: a new surgical approach to the correction of pulsatile tinnitus. Otol Neurotol, 2007 Jan 1;28(1):48-53.
12.
Schoeff S, Nicholas B, Mukherjee S, Kesser BW. Imaging prevalence of sigmoid sinus dehiscence among patients with and without pulsatile tinnitus. Otolaryngol Head Neck Surg, 2014 May;150(5):841-6.
13.
Song JJ, Kim YJ, Kim SY, An YS, Kim K, Lee SY, Koo JW. Sinus wall resurfacing for patients with temporal bone venous sinus diverticulum and ipsilateral pulsatile tinnitus. Neurosurgery, 2015 Nov 1;77(5):709-17.
14.
Trivelato FP, Araújo JF, dos Santos Silva R, Rezende MT, Ulhôa AC, Castro GD. Endovascular treatment of pulsatile tinnitus associated with transverse sigmoid sinus aneurysms and jugular bulb anomalies. Interventional Neuroradiology, 2015 Aug;21(4):548-51.
15.
Wang GP, Zeng R, Ma XB, Liu ZH, Wang ZC, Gong SS. Surgical treatment of pulsatile tinnitus caused by the sigmoid sinus diverticulum: a preliminary study. Medicine, 2015 May;94(21).
16.
Wenjuan L, Zhaohui L, Ning Z, Pengfei Z, Cheng D, Zhenchang W. Temporal bone pneumatisation and pulsatile tinnitus caused by sigmoid sinus diverticulum and/or dehiscence. BioMed Res Int, 2015 Oct 25; article ID 970613, 1-4.
17.
Zeng R, Wang GP, Liu ZH, Liang XH, Zhao PF, Wang ZC, Gong SS. Sigmoid sinus wall reconstruction for pulsatile tinnitus caused by sigmoid sinus wall dehiscence: a single-center experience. PlOS One, 2016 Oct 13; 11(10):e0164728.
We process personal data collected when visiting the website. The function of obtaining information about users and their behavior is carried out by voluntarily entered information in forms and saving cookies in end devices. Data, including cookies, are used to provide services, improve the user experience and to analyze the traffic in accordance with the Privacy policy. Data are also collected and processed by Google Analytics tool (more).
You can change cookies settings in your browser. Restricted use of cookies in the browser configuration may affect some functionalities of the website.
You can change cookies settings in your browser. Restricted use of cookies in the browser configuration may affect some functionalities of the website.
