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Case report
Endovascular treatment of jugular bulb diverticula causing debilitating pulsatile tinnitus
  1. Alex M Mortimer,
  2. Tim Harrington,
  3. Brendan Steinfort,
  4. Ken Faulder
  1. Department of Radiology, Royal North Shore Hospital, Sydney, New South Wales, Australia
  1. Correspondence to Dr Alex M Mortimer, Department of Radiology, Royal North Shore Hospital, Sydney, NSW 2065, Australia; alex_mortimer{at}hotmail.com

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.

  • Vein
  • Temporal bone
  • Technique
  • Coil
  • Stent

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