Pulsatile Tinnitus due to a Tortuous Siphon-Like Internal Carotid Artery Successfully Treated by Arterial Remodeling
Keyword(s):
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.
2001 ◽
Vol 80
(3)
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pp. 148-149
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2016 ◽
Vol 38
(8)
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pp. 893-902
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2017 ◽
Vol 38
(10)
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pp. 1893-1895
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2019 ◽
Vol 09
(04)
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pp. 295-299
1997 ◽
Vol 6
(8)
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pp. 530-535
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