上海交通大学学报（医学版）

上海交通大学学报（医学版）

• 病例报告 • 上一篇    

乙状窦憩室致搏动性耳鸣的介入治疗成功案例报道

彭佳丽，赵蓉，李格飞，吴依兰，史妍慧，刘译升，赵颖，姚前，张绮婷，王硕，方洁，潘辉，唐学梅，郑博，刘枫荻，刘建仁   

  1. 上海交通大学 医学院附属第九人民医院神经内科，上海 200011
  • 出版日期:2016-12-28 发布日期:2016-12-29
  • 通讯作者: 刘建仁，电子信箱：liujr021@163.com。刘枫荻，电子信箱：his1660_9@sina.com。
  • 作者简介:彭佳丽（1994—），女，本科生；电子信箱：jialipengs5@163.com。
  • 基金资助:

    国家自然科学基金（81271302）；上海市科学技术委员会创新行动计划基础研究重点（14JC1404300）；上海交通大学医学院-中国科学院神经科学研究所脑疾病临床研究中心2015年率先启动项目（2015NKX006）；上海申康医院发展中心临床科技创新项目（SHDC12015310）；复旦大学医学生物学国家重点实验室2014年度开放基金课题（SKLMN2014002）

Interventional therapy for pulsatile tinnitus caused by sigmoid sinus diverticulum: a case report

PENG Jia-li, ZHAO Rong, LI Ge-fei, WU Yi-lan, SHI Yan-hui, LIU Yi-Sheng, ZHAO Ying, YAO Qian, ZHANG Qi-ting, WANG Shuo, FANG Jie, PAN Hui, TANG Xue-mei, ZHENG Bo, LIU Feng-di, LIU Jian-ren   

  1. Department of Neurology, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011,China
  • Online:2016-12-28 Published:2016-12-29
  • Supported by:

    National Natural Science Foundation of China，81271302；Research Innovation Project from Shanghai Municipal Science and Technology Commission，14JC1404300；Project ( 2015 ) from SHSMU-ION Research Center for Brain Disorders，2015NKX006；Clinical Science and Technology Innovation Project of Shanghai Shen Kang Hospital Development Center，SHDC12015310；Open Fund of National Key Laboratory of Medical and Neurobiology of Fudan University，SKLMN2014002

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摘要：

乙状窦憩室是引起静脉性搏动性耳鸣的重要原因之一。该病虽然发病率不高，但可能导致严重的症状，需及时诊断和治疗。该例患者无明显诱因下出现左侧持续性、搏动性耳鸣，呈吹风样，与心搏频率一致，按压左颈部静脉时耳鸣消失,是静脉搏动性耳鸣的典型症状，全脑血管造影术提示左侧乙状窦憩室大而复杂。采用经血管介入弹簧圈填塞术治疗，术后患者耳鸣症状明显改善。介入治疗为静脉窦源性搏动性耳鸣的治疗提供了新的选择途径。

关键词: 乙状窦憩室, 搏动性耳鸣, 介入治疗, 血管内栓塞术, 支架, 弹簧圈

Abstract:

Sigmoid sinus diverticulum is one of important reasons for causing pulsatile tinnitus. Although the incidence of pulsatile tinnitus caused by sigmoid sinus diverticulum is low, it can lead to serious symptoms requiring diagnosis and treatment in time. This reported patient developed continuous and pulsatile tinnitus at left side without any precipitating factors. The tinnitus was blowy-like with the same rate as heartbeat and disappeared when pressing the left jugular vein, which were typical symptoms of venous pulsatile tinnitus. The cerebral angiography suggested that there was a big and complex sigmoid sinus diverticulum at left side. The patient’s tinnitus symptom was improved remarkably after undergoing the endovascular interventional treatment with coil embolization. It indicated that interventional therapy can provide a new option for the treatment of venous sinus origin pulsatile tinnitus.

Key words: sigmoid sinus diverticulum, pulsatile tinnitus, interventional treatment, endovascular embolization, stenting, spring coil