Ravichandran Abinayaa Purushothaman, Su Ye, Yacoub Hussam A
Department of Neurology, Lehigh Valley Health Network, Allentown, USA.
Cureus. 2023 Feb 28;15(2):e35577. doi: 10.7759/cureus.35577. eCollection 2023 Feb.
Tinnitus is a symptom of an underlying condition that can be neurological, ontological, or infectious in origin. This case report describes a patient with pulsatile tinnitus caused by sigmoid sinus dehiscence, which was successfully treated by sigmoid sinus dehiscence repair. We recommend computed tomography angiography/magnetic resonance angiography or digital subtraction angiography to rule out vascular malformation, such as arteriovenous fistula, prior to surgical intervention. In addition, we recommend imaging of the brain and formal evaluation by an ophthalmologist and lumbar puncture prior to surgical intervention to rule out idiopathic intracranial hypertension if suspected.
耳鸣是一种潜在病症的症状，其病因可能是神经性、本体性或感染性的。本病例报告描述了一名因乙状窦憩室导致搏动性耳鸣的患者，该患者通过乙状窦憩室修复术成功治愈。我们建议在手术干预前进行计算机断层血管造影/磁共振血管造影或数字减影血管造影，以排除血管畸形，如动静脉瘘。此外，如果怀疑有特发性颅内高压，我们建议在手术干预前进行脑部成像，并由眼科医生进行正式评估以及腰椎穿刺以排除该病。
