Endovascular treatment of a transverse-sigmoid sinus aneurysm presenting as pulsatile tinnitus. Case report.
The authors report on the case of a 38-year-old woman who had experienced incapacitating pulsatile tinnitus in the left ear for 6 months. Angiographic studies revealed a wide-necked venous aneurysm of the left transverse-sigmoid sinus. Solitary stent placement across the aneurysm neck resulted in a slight modification in the lesion's characteristics. A second session, in which embolization with Guglielmi Detachable Coils was performed, resulted in a 100% occlusion of the aneurysm, with patency of the parent vessel and resolution of the tinnitus.
Zenteno
Marco
M
Department of Neuroradiology and Endovascular Therapy, Instituto Nacional de Neurología y Neurocirugía Manuel Velasco Suárez, Tlalpan, México. luismur@avantel.net
Murillo-Bonilla
Luis
L
Martínez
Sergio
S
Arauz
Antonio
A
Pane
Carlo
C
Lee
Angel
A
del Valle
Ramiro
R
D000328:Adult; D002533:Cerebral Angiography; D002550:Cerebral Veins; D003392:Cranial Sinuses; D004621:Embolization, Therapeutic; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy*; D015607:Stents; D014012:Tinnitus / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy*