Berguer Ramón, Nowak Peggy
Department of Vascular Surgery, University of Michigan Medical Center, Ann Arbor, MI.
Department of Otolaryngology, Beaumont Health System, Royal Oak, MI.
Ann Vasc Surg. 2015;29(4):650-3. doi: 10.1016/j.avsg.2014.12.039. Epub 2015 Mar 6.
We present 7 cases of pulsatile tinnitus (PT) of venous origin in younger women seen over a period of 24 years and treated by Internal Jugular Bulb ligation.
All patients had a pulsatile bruit in one side of the neck that disappeared when gentle pressure over the internal jugular vein (IJV) caused it to collapse as seen in a duplex scan. Their computed tomography showed a dominant venous system with a high jugular bulb on the side of the bruit.
The IJV was ligated under local anesthesia. Five patients in whom the ligation was done above the facial vein were cured. Two patients in whom the ligation was done below the facial vein experienced a decrease but not disappearance of the PT.
Once other possible causes for PT have been discarded, ligation of the IJV above the facial vein cures this condition.
我们呈现了7例年轻女性静脉源性搏动性耳鸣（PT）病例，这些病例是在24年期间所见，并通过颈内静脉球结扎术进行治疗。
所有患者颈部一侧均有搏动性杂音，当在双功扫描中看到对颈内静脉（IJV）施加轻柔压力使其塌陷时，该杂音消失。他们的计算机断层扫描显示，杂音侧存在占优势的静脉系统且颈静脉球较高。
在局部麻醉下进行颈内静脉结扎。5例在面静脉上方进行结扎的患者治愈。2例在面静脉下方进行结扎的患者搏动性耳鸣有所减轻但未消失。
一旦排除了搏动性耳鸣的其他可能原因，在面静脉上方结扎颈内静脉可治愈这种疾病。
