Resolution of pulsatile tinnitus following an upper mediastinal lymph node resection.
External compression of extracranial/mediastinal vessels has not been reported as an etiology of pulsatile tinnitus. We present a case in which compression of extracranial vasculature led to long term pulsatile tinnitus which resolved completely with surgical resection of metastatic lymph nodes. This should be included in the list of differential diagnoses when dealing with any patient with a complaint of pulsatile tinnitus. Patients with advanced carcinoid cancer often present with distant metastases to their left superior mediastinum and supraclavicular lymph node chain. We believe a careful search for nodal metastases compressing vascular structures in such patients is warranted as debilitating pulsatile tinnitus may be cured by a simple surgical procedure.
Ochsner Medical Center-Kenner, Kenner, LA 70065, USA. ywang@lsuhsc.edu
Yi-Zarn
YZ
Wang
J Phillip
JP
Boudreaux
Richard J
RJ
Campeau
Eugene A
EA
Woltering
D000008:Abdominal Neoplasms / Q000175:diagnosis*; D002276:Carcinoid Tumor / Q000175:diagnosis* / Q000556:secondary; D005260:Female; D006801:Humans; D008197:Lymph Node Excision; D008207:Lymphatic Metastasis / Q000000981:diagnostic imaging / Q000473:pathology*; D008875:Middle Aged; D011877:Radionuclide Imaging; D014012:Tinnitus / Q000209:etiology*