Endovascular treatment of two concomitant causes of pulsatile tinnitus: sigmoid sinus stenosis and ipsilateral jugular bulb diverticulum. Case report and literature review


We describe a rare case of highly invalidating pulsatile tinnitus associated with both stenosis of the sigmoid sinus and ipsilateral jugular bulb diverticulum. Both conditions were successfully treated by positioning a stent across the sigmoid sinus and jugular bulb. To our knowledge, the present clinical case represents the first report of such an approach. The therapeutic decision-making is discussed in relation to the etiopathologic hypothesis put forward.

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Correspondence to Francis Turjman.

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Signorelli, F., Mahla, K. & Turjman, F. Endovascular treatment of two concomitant causes of pulsatile tinnitus: sigmoid sinus stenosis and ipsilateral jugular bulb diverticulum. Case report and literature review. Acta Neurochir 154, 89–92 (2012). https://doi.org/10.1007/s00701-011-1202-3

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  • Pulsatile tinnitus
  • Sigmoid sinus stenosis
  • Jugular bulb diverticulum
  • Stent placement