• Case report • Previous Articles    

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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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