Incidence of Vascular Anomalies and Variants Associated with Unilateral Venous Pulsatile Tinnitus in 242 Patients Based on Dual-phase Contrast-enhanced Computed Tomography

被引:1
作者
Dong Cheng
Zhao Peng-Fei
Yang Ji-Gang
Liu Zhao-Hui
Wang Zhen-Chang
机构
[1] Beijing 100000
[2] China
[3] Capital Medical University
[4] Department of Nuclear Medicine
[5] Beijing Friendship Hospital
[6] Department of Radiology
[7] Beijing Tongren Hospital
基金
中国国家自然科学基金;
关键词
Computed Tomography; Etiology; Tinnitus; Tomography;
D O I
暂无
中图分类号
R764.45 [耳鸣]; R816.96 [耳鼻咽喉科];
学科分类号
1001 ; 100105 ; 100207 ; 100213 ; 100602 ;
摘要
Background: A comprehensive assessment of various vascular anomalies and variants associated with venous pulsatile tinnitus (PT) by radiography is essential for therapeutic planning and improving the clinical outcome. This study evaluated the incidence of various vascular anomalies and variants on the PT side and determined whether these lesions occurred as multiple or single entities.Methods: The dual-phase contrast-enhanced computed tomography images of 242 patients with unilateral venous PT were retrospectively reviewed. The vascular anomalies and variants on the symptomatic and asymptomatic sides were analyzed, and the incidences of anomalies or variants on each side were compared. The number of anomalies and variants on the symptomatic side in each patient was calculated.Results: (1) A total 170 patients (170/242) had more than one anomaly or variant on the symptomatic side, and 58 patients (58/242) had a single lesion on tomography. (2) There was a statistically significant difference in the incidence of dehiscent sigmoid plate (P = 0.000), lateral sinus stenosis (P = 0.014), high jugular bulb (P = 0.000), sigmoid sinus diverticulum (P = 0.000), jugular bulb diverticulum (P = 0.000), dehiscent jugular bulb (P = 0.000), and a large emissary vein (P = 0.006) between the symptomatic and asymptomatic sides. (3) Dehiscent sigmoid plate (86.4%) was the most frequent lesion on the symptomatic side, followed by lateral sinus stenosis (55.8%), high jugular bulb (47.1%), sigmoid sinus diverticulum (34.3%), jugular bulb diverticulum (13.6%), dehiscent jugular bulb (13.6%), large emissary vein (4.1%), sinus thrombosis (1.2%), and petrosquamosal sinus (0.8%).Conclusions: Various vascular anomalies and variants occur more frequently on the venous PT side. Preliminary findings suggest that venous PT patients may have multiple vascular anomalies or variants on the symptomatic side.
引用
收藏
页码:581 / 585
页数:5
相关论文
共 30 条
  • [11] Benign Intracranial Hypertension: A Diagnostic Dilemma[J] . Gary Y. Shaw,Stephanie K. Million,A. Rapoport,S. Ulualp.Case Reports in Otolaryngology . 2012
  • [12] Petrosquamosal sinus in the temporal bone as a cause of pulsatile tinnitus: a radiological detection[J] . Zhaohui Liu,Chengfang Chen,Zhenchang Wang,Shusheng Gong,Junfang Xian,Xihong Liang.Clinical Imaging . 2012
  • [13] 3-Dimensional reconstruction of the venous system in patients suffering from pulsatile tinnitus
    Cho, Il-Kwon
    Jung, Jae Yoon
    Yoo, Dong Soo
    Suh, Myung-Whan
    [J]. ACTA OTO-LARYNGOLOGICA, 2012, 132 (03) : 285 - 289
  • [14] Endovascular treatment of two concomitant causes of pulsatile tinnitus: sigmoid sinus stenosis and ipsilateral jugular bulb diverticulum. Case report and literature review
    Signorelli, Francesco
    Mahla, Kalid
    Turjman, Francis
    [J]. ACTA NEUROCHIRURGICA, 2012, 154 (01) : 89 - 92
  • [15] CT angiography as a screening tool for dural arteriovenous fistula in patients with pulsatile tinnitus: feasibility and test characteristics[J] . Narvid J,Do H M,Blevins N H,Fischbein N J.AJNR. American journal of neuroradiology . 2011 (3)
  • [16] Development of the jugular bulb: a radiologic study[J] . Friedmann DR,Eubig J,McGill M,Babb JS,Pramanik BK,Lalwani AK.Otology and neurotology: official publication of the American Otological Society, American Neurotology Society[and] European Academy of Otology and Neurotology . 2011 (8)
  • [17] Sinus wall reconstruction for sigmoid sinus diverticulum and dehiscence: a standardized surgical procedure for a range of radiographic findings[J] . Eisenman DJ.Otology and neurotology: official publication of the American Otological Society, American Neurotology Society[and] European Academy of Otology and Neurotology . 2011 (7)
  • [18] Intracranial Dural Arteriovenous Fistulas: Diagnosis and Evaluation with 64-Detector Row CT Angiography
    Lee, Chung-Wei
    Huang, Adam
    Wang, Yao-Hung
    Yang, Chung-Yi
    Chen, Ya-Fang
    Liu, Hon-Man
    [J]. RADIOLOGY, 2010, 256 (01) : 219 - 228
  • [19] Pulsatile tinnitus: a harbinger of a greater ill?[J] . Liess Benjamin D,Lollar Kevin W,Christiansen Sidney G,Vaslow Dale.Head & neck . 2009 (2)
  • [20] Imaging in pulsatile tinnitus[J] . G. Madani,S.E.J. Connor.Clinical Radiology . 2008 (3)