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

Mortimer, Alex; Harrington, Tim; Steinfort, Brendan; Faulder, Ken

doi:10.1136/neurintsurg-2014-011609.rep

Cited by 10 publications

(2 citation statements)

References 15 publications

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“…However, intravenous stenting is a complex procedure with a significant complication rate, including in-stent stenosis, hematoma, in-stent thrombosis, and bracket detachment ( 20 ). To prevent thrombotic complications, guidelines state that anticoagulation needs to be resumed as soon as possible after neurointervention, with dual antiplatelet therapy(DAPT) being the preferred choice, and that the same patients need lifelong oral anticoagulants to avoid stent-related thromboembolism ( 21 ).…”

Section: Discussionmentioning

confidence: 99%

Cerebral venous sinus stenting and jugular bulb embolization for pulsatile tinnitus: A case report

Xu,

Dong,

Zheng

et al. 2024

Front. Neurol.

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BackgroundPulsatile tinnitus (PT) is a rare form of tinnitus that aligns with the heartbeat. It is typically brought on by lesions with significant vascularity, which produce aberrant sound conduction and increase the risk of mental health issues and hearing loss. Venous PT is more prevalent than arterial PT. Open procedures or interventional procedures can be used to treat PT. We present here a case of PT caused by venous luminal stenosis combined with jugular bulb (JB) malformation, which was improved by stenting and JB embolization.Case presentationA 59-year-old woman presented with long-term tinnitus consistent with heart rhythm and hearing loss, accompanied by anxiety, insomnia, and depression. The results of brain MRV, CT, and DSA showed stenosis of the right sigmoid sinus and high jugular bulb (JB) with dehiscence of the JB wall. The patient saw a significant improvement in PT symptoms following sigmoid sinus stenting and spring coil embolization of the high JB, following the diagnosis of PT. The patient had no PT recurrence for the course of the 31-month follow-up period.ConclusionIn the present PT case, there was a simultaneous onset of the right sigmoid sinus stenosis and the high JB with the JB wall abnormalities. Sigmoid sinus stenting and spring coil embolization of high JB may be a treatment for the PT, but the prevention of post-stenting complications is still an issue that requires great attention and needs further study.

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Section: Discussionmentioning

confidence: 99%

Cerebral venous sinus stenting and jugular bulb embolization for pulsatile tinnitus: A case report

Xu,

Dong,

Zheng

et al. 2024

Front. Neurol.

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“…Unlike the demographics of other venous causes of PT, diverticula causing PT are more common in the elderly. 40 Common jugular vein anomalies include HRJB and jugular dehiscence/diverticulum. The JB normally lies inferiorly to the middle ear from which it is separated by a thick petrosal bone septum.…”

Section: Jugular Vein Anomaliesmentioning

confidence: 99%

Venous Causes of Pulsatile Tinnitus: Clinical Presentation, Clinical and Radiographic Evaluation, Pathogenesis, and Endovascular Treatments: A Literature Review

Essibayi¹,

Oushy²,

Lanzino³

et al. 2021

Neurosurg.

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Tinnitus is an abnormal perception of a sound without external stimulation. Venous pulsatile tinnitus (VPT) is a specific form of tinnitus characterized by an objective and often subjective bruit that occurs as a result of localized venous abnormalities. Clinical evaluation relies on sound quality, duration, and precipitating factors. Idiopathic intracranial hypertension (IIH) and transverse sinus stenosis (TSS) are among the most common causes of VPT. Other causes include sigmoid sinus wall abnormalities (SSWAs), jugular vein anomalies (JVAs), and emissary veins anomalies. These anomalies can be detected on magnetic resonance imaging, magnetic resonance angiography/magnetic resonance venography, and high-resolution temporal bone computed tomography. The pathogenesis behind the VPT includes turbulent blood flow as a result of luminal stenosis or abnormal dilation, amplification of internal sound due to temporal bone defects, and abnormal position of the venous sinus system structures adjacent to the bony structures of the auditive apparatus. Based on these theories, different interventional treatment modalities can be applied to treat the underlying causes. Endovascular treatments have shown high efficacy and safety among those treatments which include stenting of the lateral sinus stenosis in IIH and TSS, coiling of the SSWA and JVA, and embolization of emissary veins anomalies. Further studies are needed to understand the natural history of these anomalies and the efficacy of treatments of VPT, which—unlike other types of tinnitus—can be cured with proper treatment.

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A case of jugular bulb diverticulum causing pulsatile tinnitus

Fukumoto

Yamasaki

Yonekura

et al. 2021

Clinical Case Reports

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

Cited by 10 publications

References 15 publications

Cerebral venous sinus stenting and jugular bulb embolization for pulsatile tinnitus: A case report

Cerebral venous sinus stenting and jugular bulb embolization for pulsatile tinnitus: A case report

Venous Causes of Pulsatile Tinnitus: Clinical Presentation, Clinical and Radiographic Evaluation, Pathogenesis, and Endovascular Treatments: A Literature Review

A case of jugular bulb diverticulum causing pulsatile tinnitus

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