Turkish Neurosurgery 2016 , Vol 26 , Num 4
Stent-Assisted Coil Embolization of a Transverse-Sigmoid Sinus Diverticulum Presenting with Pulsatile Tinnitus
Baomin LI1, Xianli LV2, Zhongxue WU2, Xiangyu CAO1, Jun WANG1, Aili GE1, Xinfeng LIU1, Sheng LI1
1General Hospital of PLA, Department of Neurosurgery, Beijing, China
2Capital Medical University, Beijing Neurosurgical Institute and Beijing Tiantan Hospital, Beijing, China
DOI : 10.5137/1019-5149.JTN.8140-13.3 When tinnitus is pulse-synchronous, a vascular etiology is suggested. We present a case of persistent and troublesome pulsatile tinnitus caused by a transverse-sigmoid sinus diverticulum that was endovascularly treated with stent-assisted coiling. A 39-yearold woman presented with a 4-year history of progressive pulsatile tinnitus involving the right ear. Slight pulsatile bruit was heard on the right mastoid bone by auscultation. Cerebral angiography demonstrated a diverticulum of the transverse-sigmoid sinus. The procedure was performed with an 8F guiding catheter (Cordis, USA) catheterized into the right sigmoid sinus. The diverticulum was completely coiled following deployment of a 5.5 mm-50 mm Leo stent. This patient awakened without any neurological deficit and with immediate resolution of her tinnitus. This case report describes a stent-assisted coil embolization of venous sinus diverticulum, which provides immediate resolution of pulsatile tinnitus. Keywords : Pulsatile tinnitus, Venous sinus, Diverticulum, Stent-assisted coiling
Corresponding author : Baomin Lı, baominli@sina.com