Causes of Pulsatile Tinnitus and Treatment Options.

Autor:	Daou BJ; Department of Neurosurgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, AZ, USA., Ducruet AF; Department of Neurosurgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, AZ, USA. Electronic address: Neuropub@barrowneuro.org.
Jazyk:	angličtina
Zdroj:	Neurosurgery clinics of North America [Neurosurg Clin N Am] 2024 Jul; Vol. 35 (3), pp. 293-303. Date of Electronic Publication: 2024 Apr 06.
DOI:	10.1016/j.nec.2024.03.002
Abstrakt:	Pulsatile tinnitus (PT) requires detailed workup to evaluate for an underlying structural cause. With advances in neuroimaging, structural venous abnormalities that can cause PT have becoming increasingly recognized. A number of anomalies, including dural arteriovenous fistulas, idiopathic intracranial hypertension, transverse sinus stenosis, sigmoid sinus wall abnormalities, jugular venous anomalies, and hypertrophied emissary veins, have been implicated in flow disruption and turbulence in the vicinity of auditory structures, resulting in PT. Endovascular treatment options, including stenting, coiling, and embolization with liquid agents, have demonstrated high efficacy and safety. These treatments can lead to symptomatic relief in carefully selected cases. Competing Interests: Disclosure Dr A.F. Ducruet is a consultant for Stryker, Medtronic, Cerenovus, Koswire, Penumbra, Inc., Balt, and Phenox and has ownership interest in Aneuvas Technologies, Inc. Dr B.J. Daou has no personal, financial, or institutional interest in any of the drugs, materials, or devices described in this article. (Copyright © 2024 Elsevier Inc. All rights reserved.)
Databáze:	MEDLINE
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