Endovascular treatment of two concomitant causes of pulsatile tinnitus: sigmoid sinus stenosis and ipsilateral jugular bulb diverticulum. Case report and literature review

Acta Neurochir (Wien). 2012 Jan;154(1):89-92. doi: 10.1007/s00701-011-1202-3. Epub 2011 Nov 8.


We describe a rare case of highly invalidating pulsatile tinnitus associated with both stenosis of the sigmoid sinus and ipsilateral jugular bulb diverticulum. Both conditions were successfully treated by positioning a stent across the sigmoid sinus and jugular bulb. To our knowledge, the present clinical case represents the first report of such an approach. The therapeutic decision-making is discussed in relation to the etiopathologic hypothesis put forward.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Cranial Sinuses / diagnostic imaging
  • Diverticulum / diagnostic imaging
  • Diverticulum / etiology
  • Diverticulum / therapy
  • Embolization, Therapeutic / methods*
  • Female
  • Humans
  • Jugular Veins / diagnostic imaging
  • Middle Aged
  • Radiography
  • Tinnitus / diagnostic imaging
  • Tinnitus / etiology*
  • Tinnitus / therapy*
  • Vascular Diseases / complications*
  • Vascular Diseases / diagnostic imaging
  • Vascular Diseases / therapy*