Pulsatile Tinnitus due to a Tortuous Siphon-Like Internal Carotid Artery Successfully Treated by Arterial Remodeling
A patient is described with a right-sided tortuous siphon-like extracranial internal carotid artery leading to highly distressing ipsilateral heart beat synchronous pulsatile tinnitus, scoring 9/10 measuring loudness. Dilating the balloon during the occlusion test in or distal to the siphon-like ano...
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Case Reports in Otolaryngology |
| Online Access: | http://dx.doi.org/10.1155/2013/938787 |
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| _version_ | 1832555989201584128 |
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| author | Dirk De Ridder Sven Vanneste Tomas Menovsky |
| author_facet | Dirk De Ridder Sven Vanneste Tomas Menovsky |
| author_sort | Dirk De Ridder |
| collection | DOAJ |
| description | A patient is described with a right-sided tortuous siphon-like extracranial internal carotid artery leading to highly distressing ipsilateral heart beat synchronous pulsatile tinnitus, scoring 9/10 measuring loudness. Dilating the balloon during the occlusion test in or distal to the siphon-like anomaly reduces the arterial pulsations. Subsequently, surgery is performed using Teflon as an external construct to straighten the siphon-like anomaly. Postoperatively, the pulsations improve to 5/10 in a standing position and disappear during a reclined position. By adding a hearing aid, the pulsations are almost completely gone during a standing position (1/10) and remain absent in a reclined position. |
| format | Article |
| id | doaj-art-56a1efe2e06540b28c3d9fd261522c11 |
| institution | Kabale University |
| issn | 2090-6765 2090-6773 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Otolaryngology |
| spelling | doaj-art-56a1efe2e06540b28c3d9fd261522c112025-02-03T05:46:43ZengWileyCase Reports in Otolaryngology2090-67652090-67732013-01-01201310.1155/2013/938787938787Pulsatile Tinnitus due to a Tortuous Siphon-Like Internal Carotid Artery Successfully Treated by Arterial RemodelingDirk De Ridder0Sven Vanneste1Tomas Menovsky2TRI Tinnitus Clinic, BRAI2N & Department of Neurosurgery, Antwerp University Hospital, 2650 Edegem, BelgiumTRI Tinnitus Clinic, BRAI2N & Department of Neurosurgery, Antwerp University Hospital, 2650 Edegem, BelgiumTRI Tinnitus Clinic, BRAI2N & Department of Neurosurgery, Antwerp University Hospital, 2650 Edegem, BelgiumA patient is described with a right-sided tortuous siphon-like extracranial internal carotid artery leading to highly distressing ipsilateral heart beat synchronous pulsatile tinnitus, scoring 9/10 measuring loudness. Dilating the balloon during the occlusion test in or distal to the siphon-like anomaly reduces the arterial pulsations. Subsequently, surgery is performed using Teflon as an external construct to straighten the siphon-like anomaly. Postoperatively, the pulsations improve to 5/10 in a standing position and disappear during a reclined position. By adding a hearing aid, the pulsations are almost completely gone during a standing position (1/10) and remain absent in a reclined position.http://dx.doi.org/10.1155/2013/938787 |
| spellingShingle | Dirk De Ridder Sven Vanneste Tomas Menovsky Pulsatile Tinnitus due to a Tortuous Siphon-Like Internal Carotid Artery Successfully Treated by Arterial Remodeling Case Reports in Otolaryngology |
| title | Pulsatile Tinnitus due to a Tortuous Siphon-Like Internal Carotid Artery Successfully Treated by Arterial Remodeling |
| title_full | Pulsatile Tinnitus due to a Tortuous Siphon-Like Internal Carotid Artery Successfully Treated by Arterial Remodeling |
| title_fullStr | Pulsatile Tinnitus due to a Tortuous Siphon-Like Internal Carotid Artery Successfully Treated by Arterial Remodeling |
| title_full_unstemmed | Pulsatile Tinnitus due to a Tortuous Siphon-Like Internal Carotid Artery Successfully Treated by Arterial Remodeling |
| title_short | Pulsatile Tinnitus due to a Tortuous Siphon-Like Internal Carotid Artery Successfully Treated by Arterial Remodeling |
| title_sort | pulsatile tinnitus due to a tortuous siphon like internal carotid artery successfully treated by arterial remodeling |
| url | http://dx.doi.org/10.1155/2013/938787 |
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