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Clinical neurology
Case series
Stent-assisted coiling of dural sinus diverticula: a case series
  1. Sanjeev Raj Keshary1,
  2. Travis Everett2,
  3. Anthony Michael Alvarado3,
  4. Michael G Abraham4
  1. 1 Department of Neurology, Advocate Christ Medical Center, Oak Lawn, IL, USA
  2. 2 Department of Radiology, University of New Mexico School of Medicine, Albuquerque, New Mexico, USA
  3. 3 Department of Neurosurgery, University of Kansas Medical Center, Kansas City, KS, USA
  4. 4 Departments of Neurology and Radiology, University of Kansas Medical Center, Kansas City, KS, USA
  1. Correspondence to Dr Michael G Abraham, University of Kansas Medical Center, Kansas City, KS 66160, USA; mabraham{at}kumc.edu

Abstract

Background Dural sinus diverticula are a rare vascular etiology of pulsatile tinnitus. Patients typically present with disabling symptoms and undergo an extensive workup for common causes of pulsatile tinnitus. Endovascular treatment has been shown to be effective in several case reports. We present the largest case series of eight patients treated with endovascular therapy using stent-assisted coiling and describe the unique details of intervention.

Methods A retrospective chart review was performed on all patients who underwent endovascular dural sinus stenting.

Results One-hundred-twenty patients underwent dural sinus stetnting from August 2012 to February 2020. Eight of these had symptomatic pulsatile tinnitus secondary to a dural sinus diverticulum and were successfully treated with stent-assisted coil embolization. No complications occurred.

Conclusion Our case series demonstrates that endovascular dural sinus stent-assisted coil embolization for symptomatic dural sinus diverticula is a safe and effective treatment.

  • stent
  • coil
  • stenosis
  • technique
  • vein

https://doi.org/10.1136/neurintsurg-2020-016937

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    Footnotes

    • Contributors MGA conceived the idea and collected case series. SRK reviewed case series and drafted the manuscript. AMA assisted with manuscript edits. TE assisted with the abstract.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.

    • Supplemental material This content has been supplied by the author(s). It has not been vetted by BMJ Publishing Group Limited (BMJ) and may not have been peer-reviewed. Any opinions or recommendations discussed are solely those of the author(s) and are not endorsed by BMJ. BMJ disclaims all liability and responsibility arising from any reliance placed on the content. Where the content includes any translated material, BMJ does not warrant the accuracy and reliability of the translations (including but not limited to local regulations, clinical guidelines, terminology, drug names and drug dosages), and is not responsible for any error and/or omissions arising from translation and adaptation or otherwise.