박동성 이명의 진단과 치료의 최신 지견
Diagnosis and Treatment of Pulsatile Tinnitus: State-of-the-Art
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Pulsatile tinnitus (PT), in general, is not related to pathology of the auditory system. Although PT is not as common as non-pulsatile tinnitus, the diagnosis and treatment of PT is important as it is reported to be found in as much as 4% of general population and treatable vascular causes are found in 44~91% of subjects with PT. Three types of vascular origins (arterial, arteriovenous, and venous) of pulsatile tinnitus exist and the main causes of pulsatile tinnitus are related to aberrant/ectopic, stenosis, diverticulum, bony wall dehiscence, or other pathologies of blood vessels, either arterial or venous. Brain MRI with angiography, temporal bone high-resolution CT, Doppler ultrasonography, and classical transfemoral cerebral angiography are radiological diagnostic tools for pulsatile tinnitus, but basic findings at the outpatients’ clinic such as subjective psychoacoustic nature of the PT, otoendoscopic findings, and audiologic features are also very important as these can be of great help for the physicians to obtain presumptive diagnostic impression for each subject with PT. Dehiscence/diverticulum of the sigmoid sinus one of the most common surgically correctable venous cause of PT. Additionally, benign intracranial hypertension is also a very common cause of PT that should not be forgotten in obese PT subjects with normal radiologic findings. In this review, diagnostic steps and appropriate surgical- or interventional management options for each cause of PT will be discussed in detail.
Abstract
Pulsatile tinnitus (PT), in general, is not related to pathology of the auditory system. Although PT is not as common as non-pulsatile tinnitus, the diagnosis and treatment of PT is important as it is reported to be found in as much as 4% of general population and treatable vascular causes are found in 44~91% of subjects with PT. Three types of vascular origins (arterial, arteriovenous, and venous) of pulsatile tinnitus exist and the main causes of pulsatile tinnitus are related to aberrant/ectopic, stenosis, diverticulum, bony wall dehiscence, or other pathologies of blood vessels, either arterial or venous. Brain MRI with angiography, temporal bone high-resolution CT, Doppler ultrasonography, and classical transfemoral cerebral angiography are radiological diagnostic tools for pulsatile tinnitus, but basic findings at the outpatients’ clinic such as subjective psychoacoustic nature of the PT, otoendoscopic findings, and audiologic features are also very important as these can be of great help for the physicians to obtain presumptive diagnostic impression for each subject with PT. Dehiscence/diverticulum of the sigmoid sinus one of the most common surgically correctable venous cause of PT. Additionally, benign intracranial hypertension is also a very common cause of PT that should not be forgotten in obese PT subjects with normal radiologic findings. In this review, diagnostic steps and appropriate surgical- or interventional management options for each cause of PT will be discussed in detail.
참고문헌 (80)
- Ahsan SF, "What is the best imaging modality in evaluating patients with unilateral pulsatile tinnitus?", Laryngoscope, 125(2), pp.284~285 (2015)
- Liyanage SH, "Pulsatile tinnitus", J Laryngol Otol, 120(2), pp.93~97 (2006)
- Hofmann E, "Pulsatile tinnitus : imaging and differential diagnosis", Dtsch Arztebl Int, 110(26), pp.451~458 (2013)
- Schoeff S, "Imaging prevalence of sigmoid sinus dehiscence among patients with and without pulsatile tinnitus", Otolaryngol Head Neck Surg, 150(5), pp.841~846 (2014)
- Weissman JL, "Imaging of tinnitus : a review", Radiology, 216(2), pp.342~349 (2000)
- Madani G, "Imaging in pulsatile tinnitus", Clin Radiol, 64(3), pp.319~328 (2009)
- Landgrebe M, "The Tinnitus Research Initiative(TRI)database : a new approach for delineation of tinnitus subtypes and generation of predictors for treatment outcome", BMC Med Inform Decis Mak, 10, pp.42~ (2010)
- Sanchez TG, "A new therapeutic procedure for treatment of objective venous pulsatile tinnitus", International Tinnitus Journal, 8(1), pp.54~57 (2002)
- Kao E, "Flow patterns in the jugular veins of pulsatile tinnitus patients", J Biomech, 52, pp.61~67 (2017)
- Mattox DE, "Algorithm for evaluation of pulsatile tinnitus", Acta Otolaryngol, 128(4), pp.427~431 (2008)
- Eisenman DJ, "Evaluation and treatment of pulsatile tinnitus associated with sigmoid sinus wall anomalies", Laryngoscope, 128(Suppl 2), pp.S1~S13 (2018)
- Wang JR, "Superior semicircular canal dehiscence associated with external, middle, and inner ear abnormalities", Laryngoscope, 120(2), pp.390~393 (2010)
- Friedmann DR, "Clinical spectrum of patients with erosion of the inner ear by jugular bulb abnormalities", The Laryngoscope, 120(2), pp.365~372 (2010)
- Sonmez G, "Imaging of pulsatile tinnitus : a review of 74 patients", Clin Imaging, 31(2), pp.102~108 (2007)
- Hafeez F, "Pulsatile tinnitus in cerebrovascular arterial diseases", J Stroke Cerebrovasc Dis, 8(4), pp.217~223 (1999)
- Sismanis A, "Objective tinnitus in patients with atherosclerotic carotid artery disease", Am J Otol, 15(3), pp.404~407 (1994)
- Hatsukami TS, "MRI in the early identification and classification of high-risk atherosclerotic carotid plaques", Imaging Med, 2(1), pp.63~75 (2010)
- Sismanis A, "Pulsatile tinnitus : contemporary assessment and management", Curr Opin Otolaryngol Head Neck Surg, 19(5), pp.348~357 (2011)
- Kondoh T, "Distal anterior inferior cerebellar artery aneurysm occult on magnetic resonance angiography one month prior to rupture--case report", Neurol Med Chir(Tokyo), 43(7), pp.345~348 (2003)
- Roll JD, "Bilateral aberrant internal carotid arteries with bilateral persistent stapedial arteries and bilateral duplicated internal carotid arteries", AJNR Am J Neuroradiol, 24(4), pp.762~765 (2003)
- Hosokawa S, "Tortuous internal carotid artery presenting as a pharyngeal mass", J Laryngol Otol, 124(9), pp.1033~1036 (2010)
- Lin DS, "Tortuous internal carotid artery presenting as a pulsatile hypopharyngeal mass", Otolaryngol Head Neck Surg, 139(2), pp.316~317 (2008)
- Sismanis A, "Pulsatile tinnitus associated with internal carotid artery morphologic abnormalities", Otol Neurotol, 29(7), pp.1032~1036 (2008)
- Cochran JH Jr., "Tinnitus as a presenting symptom in pernicious anemia", Ann Otol Rhinol Laryngol, 88(2 Pt 1), pp.297~ (1979)
- Sunwoo W, "Characteristics of tinnitus found in anemia patients and analysis of population-based survey", Auris Nasus Larynx, 45(6), pp.1152~1158 (2018)
- Roy D, "Pulsatile tinnitus and dural arteriovenous fistula of the transverse sinus", J Otolaryngol, 22(6), pp.409~412 (1993)
- An YH, "Dural arteriovenous fistula masquerading as pulsatile tinnitus : radiologic assessment and clinical implications", Sci Rep, 6, pp.36601~ (2016)
- Jungreis CA, "Pulsatile tinnitus from a dural arteriovenous fistula", Ann Otol Rhinol Laryngol, 100(11), pp.951~953 (1991)
- Fitzgerald RT, "Pulsatile tinnitus secondary to a dural arteriovenous fistula", Otol Neurotol (2014)
- Farb RI, "Cranial dural arteriovenous fistula : diagnosis and classification with time-resolved MR angiography at 3T", AJNR Am J Neuroradiol, 30(8), pp.1546~1551 (2009)
- Shin EJ, "Role of angiography in the evaluation of patients with pulsatile tinnitus", Laryngoscope, 110(11), pp.1916~1920 (2000)
- Sharma A, "Posttraumatic carotid-cavernous fistula associated with evolving contralateral internal carotid artery pseudoaneurysm", J Neurol Surg A Cent Eur Neurosurg, 74(Suppl 1), pp.e76~80 (2013)
- Sweeney AD, "Glomus tympanicum tumors", Otolaryngol Clin North Am, 48(2), pp.293~304 (2015)
- Manski TJ, "Endolymphatic sac tumors. A source of morbid hearing loss in von Hippel-Lindau disease", JAMA, 277(18), pp.1461~1466 (1997)
- Swartz JD, "An approach to the evaluation of the patient with pulsatile tinnitus with emphasis on the anatomy and pathology of the jugular foramen", Semin Ultrasound CT MR, 25(4), pp.319~331 (2004)
- Sismanis A, "Otologic manifestations of benign intracranial hypertension syndrome : diagnosis and management", Laryngoscope, 97(8 Pt 2 Suppl 42), pp.1~17 (1987)
- Sismanis A, "Objective tinnitus in benign intracranial hypertension : an update", Laryngoscope, 100(1), pp.33~36 (1990)
- Kling F, "Bilateral papilledema in young women : two case reports of benign intracranial hypertension?", J Fr Ophtalmol, 25(8), pp.835~839 (2002)
- Lorberboym M, "Benign intracranial hypertension : correlation of cerebral blood flow with disease severity", Clin Neurol Neurosurg, 103(1), pp.33~36 (2001)
- Sugerman HJ, "Increased intra-abdominal pressure and cardiac filling pressures in obesity-associated pseudotumor cerebri", Neurology, 49(2), pp.507~511 (1997)
- Rougier MB, "Diagnosing bilateral papilledema", J Fr Ophtalmol, 33(6), pp.424~429 (2010)
- Agid R, "Idiopathic intracranial hypertension : the validity of cross-sectional neuroimaging signs", Neuroradiology, 48(8), pp.521~527 (2006)
- Dietz RR, "MR imaging and MR angiography in the evaluation of pulsatile tinnitus", AJNR Am J Neuroradiol, 15(5), pp.879~889 (1994)
- Kennedy DW, "The jugular bulb in otologic surgery : anatomic, clinical, and surgical considerations", Otolaryngol Head Neck Surg, 94(1), pp.6~15 (1986)
- Presutti L, "Jugular bulb diverticula", ORL J Otorhinolaryngol Relat Spec, 53(1), pp.57~60 (1991)
- Mortimer AM, "Endovascular treatment of jugular bulb diverticula causing debilitating pulsatile tinnitus", BMJ Case Rep, 2015 (2015)
- Otto KJ, "Sigmoid sinus diverticulum : a new surgical approach to the correction of pulsatile tinnitus", Otol Neurotol, 28(1), pp.48~53 (2007)
- Eisenman DJ, "Sinus wall reconstruction for sigmoid sinus diverticulum and dehiscence : a standardized surgical procedure for a range of radiographic findings", Otol Neurotol, 32(7), pp.1116~1119 (2011)
- Liu Z, "Sigmoid sinus diverticulum and pulsatile tinnitus : analysis of CT scans from 15 cases", Acta Radiol, 54(7), pp.812~816 (2013)
- Grewal AK, "Clinical presentation and imaging findings in patients with pulsatile tinnitus and sigmoid sinus diverticulum", dehiscence, 2014, pp.35(1), 16~21
- Song JJ, "Sinus wall resurfacing for patients with temporal bone venous sinus diverticulum and ipsilateral pulsatile tinnitus", Neurosurgery, 77(5), pp.709~717 (2015)
- Lee SY, "Longitudinal analysis of surgical outcome in subjects with pulsatile tinnitus originating from the sigmoid sinus", Sci Rep, 10(1), pp.18194~ (2020)
- Hsieh YL, "Hydroacoustic analysis and extraluminal compression surgical insights of venous pulsatile tinnitus", Auris Nasus Larynx (2021)
- Mehanna R, "Endovascular treatment of sigmoid sinus aneurysm presenting as devastating pulsatile tinnitus. A case report and review of literature", Interv Neuroradiol, 16(4), pp.451~454 (2010)
- Park YH, "Awake embolization of sigmoid sinus diverticulum causing pulsatile tinnitus : simultaneous confirmative diagnosis and treatment", Interv Neuroradiol, 17(3), pp.376~379 (2011)
- Amans MR, "MR venous flow in sigmoid sinus diverticulum", AJNR Am J Neuroradiol, 39(11), pp.2108~2113 (2018)
- Kim SH, "Pre-treatment objective diagnosis and post-treatment outcome evaluation in patients with vascular pulsatile tinnitus using transcanal recording and spectro-temporal analysis", PLoS One, 11(6), pp.e0157722~ (2016)
- Zhaohui L, "Association between idiopathic intracranial hypertension and sigmoid sinus dehiscence", diverticulum with pulsatile tinnitus : a retrospective imaging study, 2015, pp.57(7), 747~753
- Wee JH, "Increased intracranial pressure after surgical treatment of pulsatile tinnitus from a prominent sigmoid sinus", Otol Neurotol, 33(6), pp.e41~2 (2012)
- Levine RA, "Tinnitus : diagnostic approach leading to treatment", Semin Neurol, 33(3), pp.256~269 (2013)
- Adler JR, "Self-audible venous bruits and high jugular bulb", Arch Neurol, 43(3), pp.257~259 (1986)
- Jun BH, "Pulsatile tinnitus alleviated by contralateral neck compression : a case report", Auris Nasus Larynx, 30(1), pp.89~91 (2003)
- Jozefowicz-Korczynska M, "Electronystagmography outcome and neuropsychological findings in tinnitus patients", Int Tinnitus J, 11(1), pp.54~57 (2005)
- De Ridder D, "Pulsatile tinnitus and the intrameatal vascular loop: why do we not hear our carotids?", Neurosurgery, 57(6), pp.1213~1217 (2005)
- Narvid J, "CT angiography as a screening tool for dural arteriovenous fistula in patients with pulsatile tinnitus : feasibility and test characteristics", AJNR Am J Neuroradiol, 32(3), pp.446~453 (2011)
- Greer M, "Management of benign intracranial hypertension(pseudotumor cerebri)", Clin Neurosurg, 15, pp.161~174 (1968)
- Theisler CW, "Benign intracranial hypertension : diagnosis and conservative management", J Manipulative Physiol Ther, 9(1), pp.33~38 (1986)
- Soler D, "Diagnosis and management of benign intracranial hypertension", Arch Dis Child, 78(1), pp.89~94 (1998)
- Singh DP, "Bilateral carotid endarterectomy as treatment of vascular pulsatile tinnitus", J Vasc Surg, 50(1), pp.183~185 (2009)
- Hartung O, "Tinnitus resulting from tandem lesions of the internal carotid artery : combined extracranial endarterectomy and intrapetrous primary stenting", J Vasc Surg, 39(3), pp.679~681 (2004)
- Fowler JC, "Case of the month. Glomus tympanicum tumor", JAAPA, 23(6), pp.65~ (2010)
- Mahadevaiah A, "Surgical management of glomus tympanicum tumor", Indian J Otolaryngol Head Neck Surg, 59(1), pp.5~8 (2007)
- Brown S, "Glomus tympanicum tumor", Ear Nose Throat J, 81(9), pp.608~ (2002)
- Ivan ME, "A meta-analysis of tumor control rates and treatment-related morbidity for patients with glomus jugulare tumors", J Neurosurg, 114(5), pp.1299~1305 (2011)
- Hafez RF, "The safety and efficacy of gamma knife surgery in management of glomus jugulare tumor", World J Surg Oncol, 8, pp.76~ (2010)
- Rouillard R, "Pulsatile tinnitus : a dehiscent jugular vein", Laryngoscope, 95(2), pp.188~189 (1985)
- Lee SY, "Jugular bulb resurfacing with bone cement for patients with high dehiscent jugular bulb and ipsilateral pulsatile tinnitus", Otol Neurotol, 40(2), pp.192~199 (2019)
- Kim CS, "Transmastoid reshaping of the sigmoid sinus : preliminary study of a novel surgical method to quiet pulsatile tinnitus of an unrecognized vascular origin", J Neurosurg, 125(2), pp.441~449 (2016)
- Song JJ, "Sinus wall resurfacing for patients with temporal bone venous sinus diverticulum and ipsilateral pulsatile tinnitus", Neurosurgery, 77(5), pp.709~717 (2015)
- Sorkin GC, "Endovascular role in dural arteriovenous fistula management", World Neurosurg, 80(6), pp.e219~20 (2013)
