title: [Exposed superior bulb of the internal jugular vein. Differential hearing loss diagnosis with pulse synchronous tinnitus].
abstract: A case report is presented of a 54-year-old woman with tinnitus synchronous with her pulse and an ipsilateral conductive hearing loss. Otoscopy showed a pulsatile structure behind the right eardrum. Imaging with high-resolution computed tomography of the temporal bone showed an enlarged jugular vein bulb. Magnetic resonance imaging could not be performed because of an implanted pacemaker. Since a glomus jugulare tumor could not be excluded right diagnostic tympanoscopy was performed and revealed a high jugular bulb that filled nearly a third of the tympanum.
authors.affiliation: Abteilung Hals-Nasen-Ohrenheilkunde, Kopf- und Halschirurgie, Bundeswehrkrankenhaus Ulm.
authors.forename: M
authors.initials: M
authors.lastname: Tisch
authors.forename: H
authors.initials: H
authors.lastname: Maier
mesh_terms: D003937:Diagnosis, Differential; D004432:Ear, Middle / Q000473:pathology; D005260:Female; D006314:Hearing Loss, Conductive / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D007601:Jugular Veins; D008875:Middle Aged; D019720:Otoscopes; D011674:Pulse; D014012:Tinnitus / Q000175:diagnosis / Q000209:etiology*; D014057:Tomography, X-Ray Computed
vernacular_title: Freiliegender Bulbus superior v.jugularis internae. Differentialdiagnose bei Schwerhörigkeit mit pulssynchronem Tinnitus.