scholarly journals A case of jugular bulb diverticulum causing pulsatile tinnitus

2021 ◽  
Vol 9 (9) ◽  
Author(s):  
Ichiro Fukumoto ◽  
Kazuki Yamasaki ◽  
Shuji Yonekura ◽  
Tomohisa Iinuma ◽  
Yukiyoshi Mita ◽  
...  
Keyword(s):  
Jugular Bulb ◽  
Pulsatile Tinnitus

A Convenient Sonographic Technique for Diagnosis of Pulsatile Tinnitus Induced by a High Jugular Bulb

2008 ◽  
Vol 27 (1) ◽  
pp. 139-140 ◽  
Author(s):  
Minoru Nakagawa ◽  
Norimitsu Miyachi ◽  
Kenjiro Fujiwara
Keyword(s):  
Jugular Bulb ◽  
Pulsatile Tinnitus ◽  
High Jugular Bulb

scholarly journals A Transcanal Endoscopic Approach for Management of Pulsatile Tinnitus due to High-Riding Dehiscent Jugular Bulb

2021 ◽  
pp. 014556132110436
Author(s):  
David Shang-Yu Hung ◽  
Wei-Ting Lee ◽  
Yi-Lu Li ◽  
Jiunn-Liang Wu
Keyword(s):  
Middle Ear ◽  
Coil Embolization ◽  
Jugular Bulb ◽  
Endoscopic Ear Surgery ◽  
Pulsatile Tinnitus ◽  
Clinical Consideration ◽  
Ear Surgery ◽  
High Jugular Bulb ◽  
Endovascular Coil Embolization ◽  
Transmastoid Approach

Pulsatile tinnitus (PT) caused by a high-riding dehiscence jugular bulb (HDJB) is a rare but treatable otology disease. There are several managements include transcatheter endovascular coil embolization, transvenous stent–assisted coil embolization, or resurfacing the dehiscent bony wall of high jugular bulb under the use of microscope. Among those options, surgical resurfacing of HDJB might be an effective and safe choice with less destruction. However, previous studies approached middle ear cavity via microscope can only provide a lateral, indirect view, while resurfacing the vessel through a transcanal endoscopic ear surgery (TEES) approach may give surgeon a direct and easy way to manage HDJB. In this report, we presented a case of 40-year-old woman with HDJB and shared our clinical consideration and reasoning of the surgical management of PT via a transtympanic approach by TEES rather than a transmastoid approach.

Jugular Bulb Resurfacing With Bone Cement for Patients With High Dehiscent Jugular Bulb and Ipsilateral Pulsatile Tinnitus

2019 ◽  
Vol 40 (2) ◽  
pp. 192-199 ◽  
Author(s):  
Sang-Yeon Lee ◽  
Seul-Ki Song ◽  
Sung Joon Park ◽  
Han Gyeol Park ◽  
Byung Yoon Choi ◽  
...  
Keyword(s):  
Bone Cement ◽  
Jugular Bulb ◽  
Pulsatile Tinnitus

Hypotympanic Sound Baffle for Amelioration of Pulsatile Tinnitus due to Carotid and Jugular Bulb Dehiscence

2019 ◽  
Vol 40 (7) ◽  
pp. 920-926
Author(s):  
George S. Liu ◽  
Nikolas H. Blevins ◽  
Yona Vaisbuch
Keyword(s):  
Jugular Bulb ◽  
Pulsatile Tinnitus

Surgical treatment of the high jugular bulb in patients with M�ni�re's disease and pulsatile tinnitus

1999 ◽  
Vol 256 (5) ◽  
pp. 224-229 ◽  
Author(s):  
V. Couloigner ◽  
A. Bozorg Grayeli ◽  
D. Bouccara ◽  
N. Julien ◽  
O. Sterkers
Keyword(s):  
Surgical Treatment ◽  
Jugular Bulb ◽  
Pulsatile Tinnitus ◽  
High Jugular Bulb

Aberrant internal carotid artery in the middle ear with dehiscent high jugular bulb

2012 ◽  
Vol 126 (6) ◽  
pp. 645-647 ◽  
Author(s):  
Y-Y Lin ◽  
C-H Wang ◽  
S-C Liu ◽  
H-C Chen
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Middle Ear ◽  
Internal Carotid ◽  
Jugular Bulb ◽  
Bleeding Complications ◽  
Pulsatile Tinnitus ◽  
High Jugular Bulb ◽  
Aberrant Internal Carotid Artery ◽  
The Right

AbstractObjective:We report an extremely rare case of an aberrant internal carotid artery in the middle ear, together with a dehiscent high jugular bulb, a combination never previously reported.Methods:Case report with a review of the literature.Results:A 24-year-old man presented with a five-year history of aural fullness, pulsatile tinnitus and mild hearing impairment in his right ear. Otoscopy revealed a retro-tympanic mass. Computed tomography of the temporal bone revealed protrusion of the right internal carotid artery into the middle-ear cavity, with a dehiscent high jugular bulb. Magnetic resonance angiography showed a reduced diameter and lateralisation of the right internal carotid artery. A diagnosis of an aberrant internal carotid artery with a dehiscent high jugular bulb was made, and the patient was managed with conservative treatment.Conclusion:The otologist should be aware of the possibility of an aberrant internal carotid artery when the patient presents with a retro-tympanic mass, hearing loss and pulsatile tinnitus. Radiological investigation is required to make the differential diagnosis. When an aberrant internal carotid artery presents with a dehiscent high jugular bulb, the risk of serious bleeding is elevated. We recommend a conservative approach for cases presenting without bleeding complications.

scholarly journals Pulsatile tinnitus due to an aneurysmatic diverticulum of the jugular bulb treated with the Woven EndoBridge device

2019 ◽  
Vol 26 (2) ◽  
pp. 235-238
Author(s):  
F Drescher ◽  
V Maus ◽  
W Weber ◽  
S Fischer
Keyword(s):  
Layer Structure ◽  
Single Layer ◽  
Flow Diverter ◽  
Jugular Foramen ◽  
Jugular Bulb ◽  
Common Symptom ◽  
Pulsatile Tinnitus ◽  
Glomus Tumors ◽  
Woven Endobridge ◽  
The Web

Tinnitus is a common symptom with an incidence of 4–20%. Pulsatile tinnitus represents a minor subgroup of less than 10% of all patients suffering from tinnitus. Pulsatile tinnitus – different from permanent mostly idiopathic tinnitus is mainly caused by physical sources related to vascular pathologies resulting in a change in blood volume and pressure or an alteration of the vessel lumen. Differential diagnosis for pulsatile tinnitus include dural arteriovenous fistulas, glomus tumors of the jugular foramen and the middle ear or atherosclerotic diseases of the carotid artery in the petrous or cavernous segment. Anomalies of the dural sinuses and the jugular bulb have been described as rare sources of synchronized tinnitus. The Woven EndoBridge (WEB, Microvention, Tustin, CA) is an intraaneurysmal flow diverter for the treatment of broad-based arterial aneurysms with a high safety and effectiveness profile. The initial version of the WEB with a dual layer structure evolved to a single layer structure in two different versions (WEB SL, WEB SLS). The WEB system does not require a concomitant antiplatelet therapy compared to other intraluminal devices as extra-aneurysmal flow-diverters or intracranial stents. Here we describe a case of an aneurysmatic diverticulum of the jugular bulb in a patient with ipsilateral pulsatile tinnitus treated with a WEB device.

Systematic Review of Temporal Bone–Resurfacing Techniques for Pulsatile Tinnitus Associated with Vascular Wall Anomalies

2019 ◽  
Vol 160 (5) ◽  
pp. 749-761 ◽  
Author(s):  
George S. Liu ◽  
Brian C. Boursiquot ◽  
Nikolas H. Blevins ◽  
Yona Vaisbuch
Keyword(s):  
Temporal Bone ◽  
Complete Resolution ◽  
Sinus Thrombosis ◽  
Vascular Wall ◽  
Jugular Bulb ◽  
Review Literature ◽  
Sigmoid Sinus ◽  
Pulsatile Tinnitus ◽  
Partial Resolution ◽  
Sinus Wall

Objective To systematically review literature evidence on temporal bone–resurfacing techniques for pulsatile tinnitus (PT) associated with vascular wall anomalies. Data Sources We searched PubMed, Embase, and the Cochrane Database. The period covered was from 1962 to 2018. Review Methods We included studies in all languages that reported resurfacing outcomes for patients with PT and radiographic evidence or direct visualization of sigmoid sinus wall anomaly, jugular bulb wall anomaly, or dehiscent or aberrant internal carotid artery. Results Of 954 citations retrieved in database searches and 5 citations retrieved from reference lists, 20 studies with a total of 141 resurfacing cases involving 138 patients were included. Resurfacing outcomes for arterial sources of PT showed 3 of 5 cases (60%) with complete resolution and 2 (40%) with partial resolution. Jugular bulb sources of PT showed 11 of 14 cases (79%) with complete resolution and 1 (7%) with partial resolution. Sigmoid sinus sources of PT showed 91 of 121 cases (75%) with complete resolution and 12 (10%) with partial resolution. Symptoms occurred more in females and on the right side. Most cases (94%) used hard-density materials for resurfacing. Material density did not appear to be associated with resurfacing outcomes. Use of autologous materials was associated with improved outcomes for arterial sources resurfacing. Major complications involving sigmoid sinus thrombosis or compression were reported in 4% of cases without long-term morbidity or mortality. Conclusions Resurfacing surgery is likely effective and well tolerated for select patients with PT associated with various vascular wall anomalies.

scholarly journals A Rare Cause of Red Tympanic Membrane: Jugular Bulb Diverticulum

2021 ◽  
pp. 014556132110313
Author(s):  
Boon Chin Te ◽  
Kai Ping Ong ◽  
Izny Hafiz Zainon
Keyword(s):  
Carotid Artery ◽  
Endovascular Treatment ◽  
Arteriovenous Fistula ◽  
Tympanic Membrane ◽  
Open Surgery ◽  
Dural Arteriovenous Fistula ◽  
Imaging Study ◽  
Jugular Bulb ◽  
Pulsatile Tinnitus ◽  
Glomus Tympanicum

Significance Statement Pulsatile tinnitus with erythematous tympanic membrane mass suggests vascular pathologies such as dural arteriovenous fistula, glomus tympanicum, or aberrant carotid artery. Jugular bulb aneurysmatic diverticulum is rare but should be suspected in a case with the presence of aneurysm in other organs. An imaging study is mandatory to confirm the diagnosis. Patient must avoid digging ear as it can cause profuse bleeding. Treatment option can be open surgery or endovascular treatment.

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