Relentless pulsatile tinnitus secondary to dural sinovenous stenosis: is endovascular sinus stenting the answer?
| Autor: | M.M.A. Zaitoun, Ahmed Awad Bessar, Mostafa Farid, E.A.F. Darwish, Ahmed Alawamry |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Adult
Male medicine.medical_specialty Intracranial Pressure Constriction Pathologic Cranial Sinuses 030218 nuclear medicine & medical imaging Tinnitus 03 medical and health sciences 0302 clinical medicine Pulsatile Tinnitus otorhinolaryngologic diseases medicine Humans Radiology Nuclear Medicine and imaging cardiovascular diseases Sinus (anatomy) business.industry Endovascular Procedures General Medicine Middle Aged equipment and supplies medicine.disease Magnetic Resonance Imaging Complete resolution Surgery Stenosis surgical procedures operative medicine.anatomical_structure 030220 oncology & carcinogenesis Concomitant Dural venous sinuses Female Stents medicine.symptom Tomography X-Ray Computed business Magnetic Resonance Angiography |
| Zdroj: | Clinical Radiology. 76:526-531 |
| ISSN: | 0009-9260 |
| DOI: | 10.1016/j.crad.2021.02.022 |
| Popis: | To assess the efficacy of endovascular venous sinus stenting (EVSS) in treating pulsatile tinnitus (PT) caused by dural venous sinus stenosis (DVSS), and to determine whether it is an adequate remedy in cases with concurrent venous anomalies.Seventeen patients (13 female and four male) with PT due to DVSS were treated using EVSS. The trans-stenotic pressure gradient (PG) was measured before and after stenting. The effect of stenting on the tinnitus was evaluated by questioning the patients at day 0, and at 3, 6, and 9 months after stenting.Except for one patient who continued to complain of PT, all of the patients, including two with concomitant sinus diverticula, described complete resolution of the tinnitus immediately following stenting. The post-stenting PG was significantly lower than the pre-stenting PG (p0.0001). No procedure related complications occurred and no recurrence was recorded during the follow-up period.EVSS is a safe and successful treatment for PT due to DVSS even in cases with coexistent sinus diverticula. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect