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Clipping of sigmoid sinus diverticulum: how I do it

  • F Hassannia (a1), S D Carr (a1), G-M Busato (a1) and J A Rutka (a1)
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.

Copyright
Corresponding author
Author for correspondence: Dr Fatemeh Hassannia, Otology/Neurotology, University Health Network, Toronto, ON, M5G 2C4, Canada E-mail: fatimahassannia@yahoo.com
Footnotes
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Dr F Hassannia takes responsibility for the integrity of the content of the paper

Footnotes
References
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1Sonmez, G, Basekim, CC, Ozturk, E, Gungor, A, Kizilkaya, E. Imaging of pulsatile tinnitus: a review of 74 patients. Clin Imaging 2007;31:102–8
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;134:713
3Otto, KJ, Hudgins, PA, Abdelkafy, W, Mattox, DE. Sigmoid sinus diverticulum: a new surgical approach to the correction of pulsatile tinnitus. Otol Neurotol 2007;28:4853
4Eisenman, DJ. Sinus wall reconstruction for sigmoid sinus diverticulum and dehiscence: a standardized surgical procedure for a range of radiographic findings. Otol Neurotol 2011;32:1116–19
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;35:715
6Paramasivam, S, Furtado, S, Shigamatsu, T, Smouha, E. Endovascular management of sigmoid sinus diverticulum. Interv Neurol 2016;5:7680
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;1:1010
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;38:302–7
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;64:393–4
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;57:747–53
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The Journal of Laryngology & Otology
  • ISSN: 0022-2151
  • EISSN: 1748-5460
  • URL: /core/journals/journal-of-laryngology-and-otology
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