Endovascular Treatment of Pulsatile Tinnitus by Sigmoid Sinus Aneurysm: Technical Note and Review of the Literature

Publication date: May 2018
Source:World Neurosurgery, Volume 113
Author(s): Hugo Cuellar, Tanmoy Maiti, Devi Prasad Patra, Amey Savardekar, Hai Sun, Anil Nanda
BackgroundPulse-synchronous tinnitus is rare, and it almost always points toward a vascular pathology.Case DescriptionWe encountered a 56-year-old patient presenting with a 3-month history of right-side tinnitus who was found to have a sigmoid sinus aneurysm after initial imaging. The patient was managed successfully with dual endovascular access and stent placement across the aneurysm, with a subsequent complete symptomatic relief.ConclusionsDescription of the endovascular management of sigmoid sinus aneurysm is not infrequent in the literature. This report provides a brief review of the available literature specifically addressing the management strategies.



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