Pulsatile tinnitus as a rare presenting symptom of residual cholesteatoma.
Pulsatile tinnitus is an uncommon otological symptom, which often presents a diagnostic and management dilemma to the otolaryngologist. This symptom always deserves a thorough evaluation to avoid disastrous consequences from potentially life-threatening associated pathology. In most of the patients a treatable underlying aetiology can be identified. Frequent causes mentioned in the literature responsible for pulsatile tinnitus are benign intracranial hypertension syndrome, temporal bone paragangliomas and arteriovenous fistulae. Pulsatile tinnitus as a consequence of sigmoid sinus compression by a cholesteatoma has not been reported previously in the literature. Here a case of residual cholesteatoma with pulsatile tinnitus is presented, nine years after the first surgery.
Gruppo Otologico (Piacenza-Rome), 29100 Piacenza, Italy. maurizio.falcioni@gruppootologico.it
M
M
Falcioni
A
A
Taibah
Rohit
D000328:Adult; D018424:Cholesteatoma, Middle Ear / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery; D006801:Humans; D008297:Male; D018365:Neoplasm, Residual; D014012:Tinnitus / Q000000981:diagnostic imaging / Q000209:etiology*; D014057:Tomography, X-Ray Computed