Stent-assisted coil embolization of a transverse-sigmoid sinus diverticulum presenting as pulsatile tinnitus

Li, Baomin; Lv, Xianli; Wu, Zhongxue; Cao, Xiangyu; Wang, Jun; Ge, Ai-li; Liu, Xinfeng; Sheng, Li

doi:10.5137/1019-5149.jtn.8140-13.3

Cited by 3 publications

(4 citation statements)

References 8 publications

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“…[29][30][31] There seems to be a strong correlation between radiographic occlusion of the SSDD and the clinical course of PT. [29][30][31][32][33][34][35][36][37] In general, complications are rare with coil embolization of SSWAs. 32 However, cerebellar ischemia as a complication of stent-assisted coiling for sigmoid sinus aneurysm has been observed.…”

Section: Treatment and Outcomesmentioning

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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Section: Treatment and Outcomesmentioning

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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“…As previously reported, our procedures were initially conducted using Precise self-expanding stents (Cordis, Hialeah, FL) under general anesthesia. 7,8 However, even with a high ratio of efficiency (50/ 53), a certain number of patients with suspected PT remained untreated. A subset of these patients, who exhibited mild lesions of the venous sinuses, may decline the interventional therapy due to fear of futile implantation and complications.…”

Section: Oy-stersmentioning

confidence: 99%

“…Separately, the predilection sites were the transverse sinus, sigmoid sinus, and jugular bulb. [3][4][5][6][7] Considering the anatomical relationships, these 3 venous structures formed a consecutive canal, which we termed the T-S-J system (figure e-1). Based on a literature review of the previously reported venous PT cases (table e-1), we summarized the malformations of the T-S-J system into 3 categories (figures e-2 and e-3): type I, stenosis; type II, dilation (diverticulum/aneurysm or high-riding jugular bulb); and type III, mixed stenosis and dilation.…”

Section: Oy-stersmentioning

confidence: 99%

“…These variations had been defined as diverticulum (aneurysm), stenosis, or both. [3][4][5][6][7][8] From 2009 to 2015, 53 patients with ascertained venous PT underwent endovascular surgery in our center. As previously reported, our procedures were initially conducted using Precise self-expanding stents (Cordis, Hialeah, FL) under general anesthesia.…”

Section: Oy-stersmentioning

confidence: 99%

See 1 more Smart Citation

Pearls & Oy-sters: Retrievable and awake

Liu

Cao

et al. 2017

Neurology

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Physical and psychological outcomes of simple sigmoid sinus bony wall repair for pulsatile tinnitus due to sigmoid sinus wall anomalies

Zhang

2019

Eur Arch Otorhinolaryngol

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Stent-assisted coil embolization of a transverse-sigmoid sinus diverticulum presenting as pulsatile tinnitus

Cited by 3 publications

References 8 publications

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

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

Pearls & Oy-sters: Retrievable and awake

Physical and psychological outcomes of simple sigmoid sinus bony wall repair for pulsatile tinnitus due to sigmoid sinus wall anomalies

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