Jugular Bulb Diverticula

Abstract

Jugular bulb diverticula may extend either laterally in the tympanic cavity or medially towards the petrous pyramid close to the inner ear. In the first case, this leads to subjective symptoms related to the presence of a mass at the level of the tympanic cavity and the external auditory canal and thus to conductive hearing loss and pulsatile tinnitus. In the second case, vertigo, pulsatile tinnitus and sensorineural hearing loss occur. 4 cases of jugular bulb diverticula are described (1 medial type, 3 lateral type).

Jugular Bulb Diverticula: Clinical and Radiologic Aspects

“…In the English-language literature, 21 cases with JD exist at this time. [2][3][4][5][6][7][8][9] However, the rarity is questionable. This retrospective study presents 17 new cases identified through the records of 1474 patients with otologic problems and HRCT evaluations.…”

High Mega Jugular Bulb Presenting with Facial Nerve Palsy and Severe Headache

“…A lateral protrusion toward the tympanic cavity leads to symptoms of conductive hearing loss and pulsatile tinnitus, whereas a medial localization toward the petrous apex can cause vertigo, sensorineural hearing loss, and tinnitus. 5 HJB can even mimic Ménière's disease with severe acute vertiginous attacks, as reported in a case study of six patients. 6 So far, three patients were described in the literature who had various forms of facial nerve involvement ranging from facial twitching and recurrent facial paralysis to episodic hemifacial spasm.…”

A Case of Pulsatile Tinnitus from the Atherosclerosis and Atheroma in Superior Labial Artery and Facial Artery

“…If the lesion is close to the skull base or scalp vessel, symptoms such as pulsatile mass, palpable thrill or murmur may show and pulsatile tinnitus 4,5)…”