High Jugular Bulb and High Carotid Canal First Observed as Intracranial Bruit

A novel approach for surgical repair of dehiscent high jugular bulb

“…It has been suggested that a progressive increase in the volume and height of HJBs has been observed in patients followed for several years . Our patient has remained symptom free for more than 3 years.…”

“…It has been suggested that a progressive increase in the volume and height of HJBs has been observed in patients followed for several years. 11,[18][19][20] Our patient has remained symptom free for more than 3 years. Currently, the patient states that she feels a rub on her TM after aggressive aerobic exercises that lasts a few minutes after stopping exercising.…”

A novel approach for surgical repair of dehiscent high jugular bulb

“…It has been suggested that a progressive increase in the volume and height of HJBs has been observed in patients followed for several years . Our patient has remained symptom free for more than 3 years.…”

“…It has been suggested that a progressive increase in the volume and height of HJBs has been observed in patients followed for several years. 11,[18][19][20] Our patient has remained symptom free for more than 3 years. Currently, the patient states that she feels a rub on her TM after aggressive aerobic exercises that lasts a few minutes after stopping exercising.…”

Effects of a High Jugular Fossa and Jugular Bulb Diverticulum on the Inner Ear

“…Expansion of the jugular fossa and jugular bulb diverticulum has been reported (3,4,8,11,16), but in the 13 patients of the present investigation who were examined on two separate occasions, no enlargement that could support these findings was observed. In seven patients, however, the first examination consisted of conventional tomography and the second of computed tomography, making a comparison complicated, so that minor differences could have been misinterpreted.…”

“…Laterally directed high fossae resulting in case histories of bleeding from a dehiscent jugular bulb damaged at myringotomy, and hearing loss caused by protrusion of a huge bulb into the middle ear space, with an effect on the function of the ossicles or the round window, have been described (7,9,13,18,20). Furthermore, pulsating tinnitus decreasing on compression of the jugular vein and increasing with the Valsalva manoeuvre, in association with a high jugular fossa, has been reported (3,4). In the view of one of the authors it is likely that carotid pulsations are transmitted to the jugular bulb, causing this tinnitus (3), whereas the other postulates that the tinnitus is caused by a turbulent venous flow in the enlarged bulb (4).…”

“…Furthermore, pulsating tinnitus decreasing on compression of the jugular vein and increasing with the Valsalva manoeuvre, in association with a high jugular fossa, has been reported (3,4). In the view of one of the authors it is likely that carotid pulsations are transmitted to the jugular bulb, causing this tinnitus (3), whereas the other postulates that the tinnitus is caused by a turbulent venous flow in the enlarged bulb (4).…”

A novel approach for surgical repair of dehiscent high jugular bulb

“…It has been suggested that a progressive increase in the volume and height of HJBs has been observed in patients followed for several years . Our patient has remained symptom free for more than 3 years.…”

“…It has been suggested that a progressive increase in the volume and height of HJBs has been observed in patients followed for several years. 11,[18][19][20] Our patient has remained symptom free for more than 3 years. Currently, the patient states that she feels a rub on her TM after aggressive aerobic exercises that lasts a few minutes after stopping exercising.…”

Effects of a High Jugular Fossa and Jugular Bulb Diverticulum on the Inner Ear

“…Expansion of the jugular fossa and jugular bulb diverticulum has been reported (3,4,8,11,16), but in the 13 patients of the present investigation who were examined on two separate occasions, no enlargement that could support these findings was observed. In seven patients, however, the first examination consisted of conventional tomography and the second of computed tomography, making a comparison complicated, so that minor differences could have been misinterpreted.…”

“…Laterally directed high fossae resulting in case histories of bleeding from a dehiscent jugular bulb damaged at myringotomy, and hearing loss caused by protrusion of a huge bulb into the middle ear space, with an effect on the function of the ossicles or the round window, have been described (7,9,13,18,20). Furthermore, pulsating tinnitus decreasing on compression of the jugular vein and increasing with the Valsalva manoeuvre, in association with a high jugular fossa, has been reported (3,4). In the view of one of the authors it is likely that carotid pulsations are transmitted to the jugular bulb, causing this tinnitus (3), whereas the other postulates that the tinnitus is caused by a turbulent venous flow in the enlarged bulb (4).…”

“…Furthermore, pulsating tinnitus decreasing on compression of the jugular vein and increasing with the Valsalva manoeuvre, in association with a high jugular fossa, has been reported (3,4). In the view of one of the authors it is likely that carotid pulsations are transmitted to the jugular bulb, causing this tinnitus (3), whereas the other postulates that the tinnitus is caused by a turbulent venous flow in the enlarged bulb (4).…”

A novel approach for surgical repair of dehiscent high jugular bulb

“…It has been suggested that a progressive increase in the volume and height of HJBs has been observed in patients followed for several years . Our patient has remained symptom free for more than 3 years.…”

“…It has been suggested that a progressive increase in the volume and height of HJBs has been observed in patients followed for several years. 11,[18][19][20] Our patient has remained symptom free for more than 3 years. Currently, the patient states that she feels a rub on her TM after aggressive aerobic exercises that lasts a few minutes after stopping exercising.…”

Effects of a High Jugular Fossa and Jugular Bulb Diverticulum on the Inner Ear

“…Expansion of the jugular fossa and jugular bulb diverticulum has been reported (3,4,8,11,16), but in the 13 patients of the present investigation who were examined on two separate occasions, no enlargement that could support these findings was observed. In seven patients, however, the first examination consisted of conventional tomography and the second of computed tomography, making a comparison complicated, so that minor differences could have been misinterpreted.…”

“…Laterally directed high fossae resulting in case histories of bleeding from a dehiscent jugular bulb damaged at myringotomy, and hearing loss caused by protrusion of a huge bulb into the middle ear space, with an effect on the function of the ossicles or the round window, have been described (7,9,13,18,20). Furthermore, pulsating tinnitus decreasing on compression of the jugular vein and increasing with the Valsalva manoeuvre, in association with a high jugular fossa, has been reported (3,4). In the view of one of the authors it is likely that carotid pulsations are transmitted to the jugular bulb, causing this tinnitus (3), whereas the other postulates that the tinnitus is caused by a turbulent venous flow in the enlarged bulb (4).…”

“…Furthermore, pulsating tinnitus decreasing on compression of the jugular vein and increasing with the Valsalva manoeuvre, in association with a high jugular fossa, has been reported (3,4). In the view of one of the authors it is likely that carotid pulsations are transmitted to the jugular bulb, causing this tinnitus (3), whereas the other postulates that the tinnitus is caused by a turbulent venous flow in the enlarged bulb (4).…”