Endovascular treatment of jugular bulb diverticula causing debilitating pulsatile tinnitus

J Neurointerv Surg. 2016 Mar;8(3):e11. doi: 10.1136/neurintsurg-2014-011609.rep. Epub 2015 Feb 17.

Abstract

We describe the case of a patient who presented with debilitating pulsatile tinnitus in association with two jugular bulb diverticula. The diverticula were treated with stenting of the jugular bulb and coil embolization of the diverticula over two procedures. This resulted in successful resolution of symptoms and at 10 months follow-up the patient is asymptomatic. The technique is discussed with regard to similar published cases and surrogate measures of safety taken from the literature pertaining to idiopathic intracranial hypertension.

Keywords: Coil; Stent; Technique; Temporal bone; Vein.

Publication types

  • Case Reports

MeSH terms

  • Diverticulum / complications
  • Diverticulum / diagnostic imaging
  • Diverticulum / surgery*
  • Endovascular Procedures / methods*
  • Female
  • Humans
  • Jugular Veins / diagnostic imaging
  • Jugular Veins / surgery*
  • Middle Aged
  • Tinnitus / diagnostic imaging
  • Tinnitus / etiology
  • Tinnitus / surgery*