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

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.

Keywords: Covered stent; Endovascular management; Pulsatile tinnitus; Sigmoid sinus aneurysm; Sigmoid sinus diverticula.