Stent-Assisted Coil Embolization of a Transverse-Sigmoid Sinus Diverticulum Presenting with Pulsatile Tinnitus

作者：Li, Baomin^*; Lv, Xianli; Wu, Zhongxue; Ca, Xiangyu; Wang, Jun; Ge, Aili; Liu, Xinfeng; Li, Sheng

来源：Turkish Neurosurgery, 2016, 26(4): 632-634.

DOI：10.5137/1019-5149.JTN.8140-13.3

• Pulsatile tinnitus
• Venous sinus
• Diverticulum
• Stent-assisted coiling

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-year old 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.

• 出版日期2016-7
• 单位首都医科大学; 北京市神经外科研究所