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乙状窦动脉瘤所致搏动性耳鸣的血管内治疗:技术要点及文献综述

Endovascular Treatment of Pulsatile Tinnitus by Sigmoid Sinus Aneurysm: Technical Note and Review of the Literature.

作者信息

Cuellar Hugo, Maiti Tanmoy, Patra Devi Prasad, Savardekar Amey, Sun Hai, Nanda Anil

机构信息

Department of Neurosurgery, Louisiana State University Health Sciences Center-Shreveport, Louisiana, USA.

Department of Neurosurgery, Louisiana State University Health Sciences Center-Shreveport, Louisiana, USA.

出版信息

World Neurosurg. 2018 May;113:238-243. doi: 10.1016/j.wneu.2018.02.087. Epub 2018 Feb 23.

Abstract

BACKGROUND

Pulse-synchronous tinnitus is rare, and it almost always points toward a vascular pathology.

CASE DESCRIPTION

We encountered a 56-year-old patient presenting with a 3-month history of right-side tinnitus who was found to have a sigmoid sinus aneurysm after initial imaging. The patient was managed successfully with dual endovascular access and stent placement across the aneurysm, with a subsequent complete symptomatic relief.

CONCLUSIONS

Description of the endovascular management of sigmoid sinus aneurysm is not infrequent in the literature. This report provides a brief review of the available literature specifically addressing the management strategies.

摘要

背景

脉搏同步性耳鸣较为罕见,几乎总是提示血管病变。

病例描述

我们遇到一名56岁患者,有3个月的右侧耳鸣病史,初始影像学检查发现患有乙状窦动脉瘤。该患者通过双血管内入路及在动脉瘤处放置支架成功治疗,随后症状完全缓解。

结论

乙状窦动脉瘤的血管内治疗在文献中并不少见。本报告简要回顾了专门论述治疗策略的现有文献。

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