Endovascular treatment of a transverse-sigmoid sinus aneurysm presenting as pulsatile tinnitus. Case report.

Zenteno, Marco; Murillo-Bonilla, Luis; Martínez, Sergio; Arauz, Antonio; Pane, Carlo; Lee, Angel; del Valle, Ramiro · J Neurosurg · 2004

case_report · Level V

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Abstract

The authors report on the case of a 38-year-old woman who had experienced incapacitating pulsatile tinnitus in the left ear for 6 months. Angiographic studies revealed a wide-necked venous aneurysm of the left transverse-sigmoid sinus. Solitary stent placement across the aneurysm neck resulted in a slight modification in the lesion's characteristics. A second session, in which embolization with Guglielmi Detachable Coils was performed, resulted in a 100% occlusion of the aneurysm, with patency of the parent vessel and resolution of the tinnitus.

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