Abdalkader Mohamad, Klein Piers, Aliphas Avner, Weber Peter, Nguyen Thanh N
Department of Radiology, Boston Medical Center, Boston University Chobanian & Avedisian School of Medicine, Boston, MA, USA.
Department of Otolaryngology, Boston Medical Center, Boston University Chobanian & Avedisian School of Medicine, Boston, MA, USA.
Interv Neuroradiol. 2024 Sep 19:15910199241272645. doi: 10.1177/15910199241272645.
The etiopathogenesis of venous sinus diverticulum is controversial. Conflicting evidence has been published suggesting that venous sinus diverticulum is either a congenital or acquired lesion.
This is a case report of a single individual followed for 17 years within a single healthcare system.
An early middle-aged woman presented with unilateral pulsatile tinnitus, vertigo, and decreased hearing. Initial imaging was unrevealing. Interval imaging after 13 years revealed the development of an ipsilateral venous sinus diverticulum. The patient was treated via endovascular stenting and coiling of the lesion with complete resolution of symptoms.
We demonstrate that a venous sinus diverticulum in a patient with pulsatile tinnitus is an acquired lesion. Further research is warranted to better elucidate the precise etiology and pathophysiology of acquired venous sinus diverticulum, potentially guiding management strategies.
静脉窦憩室的发病机制存在争议。已发表的相互矛盾的证据表明，静脉窦憩室要么是先天性病变，要么是后天性病变。
这是一份关于在单一医疗系统中随访17年的个体病例报告。
一名中年早期女性出现单侧搏动性耳鸣、眩晕和听力下降。初始影像学检查未发现异常。13年后的间隔期影像学检查显示同侧静脉窦憩室形成。患者通过病变的血管内支架置入和弹簧圈栓塞治疗，症状完全缓解。
我们证明搏动性耳鸣患者的静脉窦憩室是后天性病变。有必要进行进一步研究，以更好地阐明后天性静脉窦憩室的确切病因和病理生理学，从而可能指导治疗策略。
