■搏动性耳鸣(PT)是一种罕见的耳鸣形式,与心跳对齐。它通常是由具有明显血管分布的病变引起的,产生异常的声音传导并增加心理健康问题和听力损失的风险。静脉PT比动脉PT更普遍。开放程序或介入程序可用于治疗PT。我们在这里介绍一例由静脉腔狭窄合并颈静脉球(JB)畸形引起的PT,通过支架置入和JB栓塞得到改善。
■一名59岁女性出现长期耳鸣,与心律和听力损失一致,伴随着焦虑,失眠,和抑郁症。大脑MRV的结果,CT,DSA显示右乙状窦狭窄,颈静脉球高(JB),JB壁裂开。患者在乙状窦支架置入和高JB的弹簧圈栓塞后,PT症状显着改善,在PT的诊断之后。在31个月的随访期间,患者没有PT复发。
■在目前的PT案例中,同时出现右乙状窦狭窄和高JB伴JB壁异常。乙状窦支架置入术和高JB弹簧圈栓塞术可能是PT的治疗方法,但支架置入术后并发症的预防仍是一个需要高度重视和进一步研究的问题。
UNASSIGNED: Pulsatile tinnitus (PT) is a rare form of tinnitus that aligns with the heartbeat. It is typically brought on by lesions with significant vascularity, which produce aberrant sound conduction and increase the risk of mental health issues and hearing loss. Venous PT is more prevalent than arterial PT. Open procedures or interventional procedures can be used to treat PT. We present here a
case of PT caused by venous luminal stenosis combined with jugular bulb (JB) malformation, which was improved by stenting and JB embolization.
UNASSIGNED: A 59-year-old woman presented with long-term tinnitus consistent with heart rhythm and hearing loss, accompanied by anxiety, insomnia, and depression. The results of brain MRV, CT, and DSA showed stenosis of the right sigmoid sinus and high jugular bulb (JB) with dehiscence of the JB wall. The patient saw a significant improvement in PT symptoms following sigmoid sinus stenting and spring coil embolization of the high JB, following the diagnosis of PT. The patient had no PT recurrence for the course of the 31-month follow-up period.
UNASSIGNED: In the present PT
case, there was a simultaneous onset of the right sigmoid sinus stenosis and the high JB with the JB wall abnormalities. Sigmoid sinus stenting and spring coil embolization of high JB may be a treatment for the PT, but the prevention of post-stenting complications is still an issue that requires great attention and needs further study.