Pulsatile tinnitus in perimenopausal period

Hou, Zhiqiang; Han, Dongyi

doi:10.3109/00016489.2011.567998

Cited by 13 publications

(10 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Three main theories have been proposed for the mechanism of SSDD, the idiopathic intracranial hypertension (IIH) theory [5], blood flow impacting theory [6,3,5], and osteoporosis theory [7]. According to the blood flow impacting theory, SSDD is caused Liu Zhaohui and Dong Cheng contributed equally to this work.…”

Section: Introductionmentioning

confidence: 98%

Association between idiopathic intracranial hypertension and sigmoid sinus dehiscence/diverticulum with pulsatile tinnitus: a retrospective imaging study

et al. 2015

View full text Add to dashboard Cite

show abstract

Section: Introductionmentioning

confidence: 98%

Association between idiopathic intracranial hypertension and sigmoid sinus dehiscence/diverticulum with pulsatile tinnitus: a retrospective imaging study

et al. 2015

View full text Add to dashboard Cite

show abstract

“…One of the venous etiologies of PT is sigmoid sinus diverticulum (SSD). SSD is an outpouching from the sigmoid dural venous sinus that is usually laterally or anteriorly oriented, and is often associated with an upstream transverse or sigmoid sinus stenosis 1,13–16 . Altering the flow of venous blood through the SSD and the parent sinus by manual compression of the ipsilateral internal jugular vein (IJV) is known to mitigate symptoms.…”

Section: Introductionmentioning

confidence: 99%

MR Venous Flow in Sigmoid Sinus Diverticulum

Amans

Haraldsson

Kao

et al. 2018

AJNR Am J Neuroradiol

View full text Add to dashboard Cite

Background and Purpose Case reports demonstrate coiling of sigmoid sinus diverticulum (SSD) can treat pulsatile tinnitus (PT). We hypothesize MR 4D Flow (4DF) and computational fluid dynamics (CFD) will reveal distinct blood flow patterns in the venous outflow tract in these patients. Materials and Methods Patients with PT of suspected venous etiology underwent MRI at 3T, using venous phase contrast-enhanced MR angiography (CE-MRA), 4DF, and 2D phase contrast. The CE-MRA contours were evaluated to determine the presence and extent of SSD. CFD analysis was performed using the 4DF inlet flow and the lumenal contours from CE-MRA as boundary conditions. In addition, CFD was also performed for the expected post-treatment conditions by smoothing the venous geometry to exclude the SSD from the anatomic boundary conditions. Streamlines were generated from the 4DF and CFD velocity maps and flow patterns were examined for the presence of rotational components. Results Twenty-five patients with PT of suspected venous etiology and 10 control subjects were enrolled. Five (20%) of the symptomatic subjects had SSD, all associated with an upstream stenosis. In each of these cases, but none of the controls, a stenosis-related flow-jet was directed toward the opening of the SSD with rotational flow patterns in the SSD and parent sigmoid sinus on both 4DF and CFD that were absent in controls. Conclusion Consistent patterns of blood flow can be visualized in SSD and the parent sinus using 4DF and CFD. Strong components of rotational blood flow were seen in subjects with SSD that were absent in controls.

show abstract

“…In assessing risk of bias, 7 studies were assessed as low risk 5,8,14,24-27 and 13 as high risk 4,6,7,9,10,22,28-34 for selective outcome reporting. For incomplete outcome data, 8 studies were assessed as low risk 6-8,14,24-26,33 and 4 as high risk, 4,5,27,30 and 8 studies could not be assessed because they reported only 1 case 9,10,22,28,29,31,32,34 (Supplemental Table S1, available in the online version of the article).…”

Section: Resultsmentioning

confidence: 99%

“…Thirteen included studies reported a total of 121 resurfacing cases to treat PT associated with SSWA. Nine studies reported on sigmoid sinus diverticulum, 4,5,7,8,26,27,32-34 and 7 reported on sigmoid sinus dehiscence. 4,8,24-26,28,30 Transmastoid resurfacing approaches were used in all cases ( Figure 3 ).…”

Section: Resultsmentioning

confidence: 99%

Systematic Review of Temporal Bone–Resurfacing Techniques for Pulsatile Tinnitus Associated with Vascular Wall Anomalies

Liu

Boursiquot

Blevins

et al. 2019

Otolaryngol.--head neck surg.

View full text Add to dashboard Cite

Objective To systematically review literature evidence on temporal bone–resurfacing techniques for pulsatile tinnitus (PT) associated with vascular wall anomalies. Data Sources We searched PubMed, Embase, and the Cochrane Database. The period covered was from 1962 to 2018. Review Methods We included studies in all languages that reported resurfacing outcomes for patients with PT and radiographic evidence or direct visualization of sigmoid sinus wall anomaly, jugular bulb wall anomaly, or dehiscent or aberrant internal carotid artery. Results Of 954 citations retrieved in database searches and 5 citations retrieved from reference lists, 20 studies with a total of 141 resurfacing cases involving 138 patients were included. Resurfacing outcomes for arterial sources of PT showed 3 of 5 cases (60%) with complete resolution and 2 (40%) with partial resolution. Jugular bulb sources of PT showed 11 of 14 cases (79%) with complete resolution and 1 (7%) with partial resolution. Sigmoid sinus sources of PT showed 91 of 121 cases (75%) with complete resolution and 12 (10%) with partial resolution. Symptoms occurred more in females and on the right side. Most cases (94%) used hard-density materials for resurfacing. Material density did not appear to be associated with resurfacing outcomes. Use of autologous materials was associated with improved outcomes for arterial sources resurfacing. Major complications involving sigmoid sinus thrombosis or compression were reported in 4% of cases without long-term morbidity or mortality. Conclusions Resurfacing surgery is likely effective and well tolerated for select patients with PT associated with various vascular wall anomalies.

show abstract

Pulsatile tinnitus in perimenopausal period

Cited by 13 publications

References 23 publications

Association between idiopathic intracranial hypertension and sigmoid sinus dehiscence/diverticulum with pulsatile tinnitus: a retrospective imaging study

Association between idiopathic intracranial hypertension and sigmoid sinus dehiscence/diverticulum with pulsatile tinnitus: a retrospective imaging study

MR Venous Flow in Sigmoid Sinus Diverticulum

Systematic Review of Temporal Bone–Resurfacing Techniques for Pulsatile Tinnitus Associated with Vascular Wall Anomalies

Contact Info

Product

Resources

About