New Treatment of Vertigo Caused by Jugular Bulb Abnormalities

Pulsatile tinnitus of vascular origin may arise in arterial or venous structures. Many authors have reported the association of pulsatile tinnitus with anomalies of dural venous sinuses and the jugular bulb. In such circumstances, mainly concomitantly with disabling tinnitus, endovascular treatment has been successfully employed. We describe here a new case of jugular bulb diverticulum associated with transverse sigmoid sinus stenosis, in a patient presenting with disabling pulsatile tinnitus. She was treated with dural sinus stenting and selective embolization of the diverticulum. In addition, we performed a literature review aiming to identify possible risk factors for developing the symptoms, as well as the safety and results of endovascular treatment.

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“…In such circumstances, mainly concomitantly with disabling tinnitus, endovascular treatment has been successfully employed. 1–4,7–13…”

Section: Introductionmentioning

confidence: 99%

Endovascular treatment of pulsatile tinnitus associated with transverse sigmoid sinus aneurysms and jugular bulb anomalies

et al. 2015

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“…To our knowledge, this is the first time that stent-assisted coiling has been employed for the treatment of jugular diverticula associated with pulsatile tinnitus. Hitier et al 17 described the treatment of three patients with jugular bulb abnormalities and vertigo (including two patients with diverticula) using similar techniques to those described here, with clinical success. These authors employed carotid Wallstents (Stryker) delivered via a femoral approach using an 8F guiding system.…”

Section: Discussionmentioning

confidence: 79%

“…Endovascular techniques for treatment of JBD have previously been reported in the context of acute postoperative hemorrhage16 and for the treatment of vertigo 17. To our knowledge, this is the first time that stent-assisted coiling has been employed for the treatment of jugular diverticula associated with pulsatile tinnitus.…”

Section: Discussionmentioning

confidence: 90%

Endovascular treatment of jugular bulb diverticula causing debilitating pulsatile tinnitus

et al. 2015

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We describe the case of a patient who presented with debilitating pulsatile tinnitus in association with two jugular bulb diverticula. The diverticula were treated with stenting of the jugular bulb and coil embolization of the diverticula over two procedures. This resulted in successful resolution of symptoms and at 10 months follow-up the patient is asymptomatic. The technique is discussed with regard to similar published cases and surrogate measures of safety taken from the literature pertaining to idiopathic intracranial hypertension.

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“…Endovascular techniques for treatment of JBD have previously been reported in the context of acute postoperative hemorrhage 16 and for the treatment of vertigo. 17 To our knowledge, this is the first time that stent-assisted coiling has been employed for the treatment of jugular diverticula associated with pulsatile tinnitus. Hitier et al 17 described the treatment of three patients with jugular bulb abnormalities and vertigo (including two patients with diverticula) using similar techniques to those described here, with clinical success.…”

Section: Discussionmentioning

confidence: 93%

Republished: Endovascular treatment of jugular bulb diverticula causing debilitating pulsatile tinnitus

Mortimer

Harrington

Steinfort

et al. 2015

J NeuroIntervent Surg

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New Treatment of Vertigo Caused by Jugular Bulb Abnormalities

Abstract: Disabling vertigo induced by jugular bulb abnormalities can be effectively treated by an endovascular technique. This technique is minimally invasive with a probable greater benefit/risk ratio compare with surgery.

Cited by 10 publications

References 18 publications

Endovascular treatment of pulsatile tinnitus associated with transverse sigmoid sinus aneurysms and jugular bulb anomalies

Endovascular treatment of pulsatile tinnitus associated with transverse sigmoid sinus aneurysms and jugular bulb anomalies

Endovascular treatment of jugular bulb diverticula causing debilitating pulsatile tinnitus

Republished: Endovascular treatment of jugular bulb diverticula causing debilitating pulsatile tinnitus

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