Hostname: page-component-cd9895bd7-jkksz Total loading time: 0 Render date: 2024-12-26T08:48:24.941Z Has data issue: false hasContentIssue false
  • English
  • Français

Clipping of sigmoid sinus diverticulum: how I do it

Published online by Cambridge University Press:  06 August 2018

F Hassannia ,
S D Carr ,
G-M Busato  and
J A Rutka
F Hassannia*
Affiliation:
Otology/Neurotology, University Health Network, Toronto, Canada
S D Carr
Affiliation:
Otology/Neurotology, University Health Network, Toronto, Canada
G-M Busato
Affiliation:
Otology/Neurotology, University Health Network, Toronto, Canada
J A Rutka
Affiliation:
Otology/Neurotology, University Health Network, Toronto, Canada
*
Author for correspondence: Dr Fatemeh Hassannia, Otology/Neurotology, University Health Network, Toronto, ON, M5G 2C4, Canada E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective

To report two cases of transmastoid clipping of a sigmoid sinus diverticulum.

Methods

Two patients with pulsatile tinnitus resulting from a sigmoid sinus diverticulum underwent clipping at the diverticulum neck using intra-operative Doppler ultrasonography.

Results

At six months’ follow up, both patients reported complete resolution of pulsatile tinnitus with no complications.

Conclusion

Transmastoid clipping of a sigmoid sinus diverticulum can be a safe and effective method of managing pulsatile tinnitus resulting from a sigmoid sinus diverticulum.

Keywords

TinnitusCranial SinusesDiverticulumClip
Type
Short Communication
Information
The Journal of Laryngology & Otology , Volume 132 , Issue 9 , September 2018 , pp. 837 - 839
Copyright
Copyright © JLO (1984) Limited, 2018 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Dr F Hassannia takes responsibility for the integrity of the content of the paper

References

1Sonmez, G, Basekim, CC, Ozturk, E, Gungor, A, Kizilkaya, E. Imaging of pulsatile tinnitus: a review of 74 patients. Clin Imaging 2007;31:102–8Google Scholar
2Wang, GP, Zeng, R, Liu, ZH, Liang, XH, Xian, JF, Wang, ZC et al. Clinical characteristics of pulsatile tinnitus caused by sigmoid sinus diverticulum and wall dehiscence: a study of 54 patients. Acta Otolaryngol 2014;134:7–13Google Scholar
3Otto, KJ, Hudgins, PA, Abdelkafy, W, Mattox, DE. Sigmoid sinus diverticulum: a new surgical approach to the correction of pulsatile tinnitus. Otol Neurotol 2007;28:48–53Google Scholar
4Eisenman, DJ. Sinus wall reconstruction for sigmoid sinus diverticulum and dehiscence: a standardized surgical procedure for a range of radiographic findings. Otol Neurotol 2011;32:1116–19Google Scholar
5Harvey, RS, Hertzano, R, Kelman, SE, Eisenman, DJ. Pulse-synchronous tinnitus and sigmoid sinus wall anomalies: descriptive epidemiology and the idiopathic intracranial hypertension patient population. Otol Neurotol 2014;35:7–15Google Scholar
6Paramasivam, S, Furtado, S, Shigamatsu, T, Smouha, E. Endovascular management of sigmoid sinus diverticulum. Interv Neurol 2016;5:76–80Google Scholar
7Amans, MR, Stout, C, Doed, CF, Higashida, RT, Hetts, SW, Cook, DL et al. Resolution of pulsatile tinnitus after coil embolization of sigmoid sinus diverticulum. Austin J Cerebrovasc Dis & Stroke 2014;1:1010Google Scholar
8Shastri, RV, Chaudhary, N, Pandey, AS, Telian, SA, Gemmete, JJ. Venous diverticula causing pulsatile tinnitus treated with coil embolization and stent placement with resolution of symptoms: report of two cases and review of the literature. Otol Neurotol 2017;38:302–7Google Scholar
9Gologorsky, Y, Meyer, SA, Post, AF, Winn, HR, Patel, AB, Bederson, JB. Novel surgical treatment of a transverse-sigmoid sinus aneurysm presenting as pulsatile tinnitus: technical case report. Neurosurgery 2009;64:393–4Google Scholar
10Liu, Z, Dong, C, Wang, X, Han, X, Zhao, P, Lv, H et al. Association between idiopathic intracranial hypertension and sigmoid sinus dehiscence/diverticulum with pulsatile tinnitus: a retrospective imaging study. Neuroradiology 2015;57:747–53Google Scholar