ArticleNeuroradiology2025
Successful treatment of pulsatile tinnitus caused by jugular bulb diverticula using stent-assisted volumetric coil embolization in a double-jailing technique.
Article in Neuroradiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed.
- Endovascular treatment of pulsatile tinnitus associated with venous sinus diverticulum: a scoping review.Frontiers in surgery · 2026Review
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5 authors.
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Abstract
backgroundPulsatile tinnitus (PT) is a distressing auditory symptom, frequently caused by vascular anomalies near the temporal bone. Among the rarer venous causes are jugular bulb diverticula, which can be difficult to diagnose and manage. CASE PRESENTATION: We report the case of a patient in their 40s with persistent right-sided pulsatile tinnitus significantly impairing daily functioning. Imaging revealed two diverticula in the right jugular bulb and an enlarged nuchal emissary vein. Conservative treatment was ineffective. Digital subtraction angiography confirmed the venous origin of the tinnitus through provocation testing and temporary balloon occlusion. A novel endovascular approach using volumetric coils and venous double-jailing technique was pursued.
interventionStent-assisted coil embolization was performed using a double-jailing technique. Two PX-SLIM™ microcatheters were jailed through a single ACCERO OUTCOME: Symptoms resolved immediately and remained absent at follow-up. Dual antiplatelet therapy was tapered to aspirin monotherapy after 12 weeks.
conclusionThis is the first reported case employing volumetric coils in combination with a venous double-jailing technique for treating jugular bulb diverticula. This approach enabled precise and efficient embolization of multiple venous outpouchings through a single stent construct. The procedure was safe, minimally invasive, and led to complete symptom relief. These findings highlight a promising treatment strategy for selected cases of venous pulsatile tinnitus with complex anatomy.
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