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S자 정맥동 게실 및 골결손으로 인한 박동성 이명의 수술적 치료

A Case of Surgically Treated Pulsatile Tinnitus by Sigmoid Sinus Diverticulum and/or Dehiscence (SSDD)

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주제분류이비인후과학

초록

Tinnitus is a bothersome symptom, and definite treatment of tinnitus is unclear. However, somatostatic tinnitus caused by vascular bruit is sometimes treatable. Sigmoid sinus diverticulum and/or dehiscence (SSDD) is common vascular abnormality, which is also known to cause pulsatile tinnitus. An endovascular embolization that can treat SSDD has been reported already, however, an external approach has not been reported yet in Korea. We experienced a 34-year-old woman who had complained of pulsatile tinnitus by SSDD and she was successfully treated with an external apporoach. So we report this case with a review of literatures. Korean J Otorhinolaryngol-Head Neck Surg 2014;57(3):198-200

Abstract

Tinnitus is a bothersome symptom, and definite treatment of tinnitus is unclear. However, somatostatic tinnitus caused by vascular bruit is sometimes treatable. Sigmoid sinus diverticulum and/or dehiscence (SSDD) is common vascular abnormality, which is also known to cause pulsatile tinnitus. An endovascular embolization that can treat SSDD has been reported already, however, an external approach has not been reported yet in Korea. We experienced a 34-year-old woman who had complained of pulsatile tinnitus by SSDD and she was successfully treated with an external apporoach. So we report this case with a review of literatures. Korean J Otorhinolaryngol-Head Neck Surg 2014;57(3):198-200

참고문헌 (8)

  1. Otto KJ, "Sigmoid sinus diverticulum: a new surgical approach to the correction of pulsatile tinnitus", Otol Neurotol, 28(1), pp.48~53 (2007)
  2. 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)
  3. 손우람, "S상정맥동 게실에 의한 박동성 이명 1예", 대한이비인후과학회지 두경부외과학, 51(8), pp.734~737 (2008), 대한이비인후과학회
  4. Krishnan A, "CT arteriography and venography in pulsatile tinnitus: preliminary results", AJNR Am J Neuroradiol, 27(8), pp.1635~1638 (2006)
  5. 전병훈, "임신시 발생하여 지속된 정맥 잡음의 내경정맥 결찰 치험 1예", 대한이비인후과학회지 두경부외과학, 46(2), pp.156~159 (2003), 대한이비인후과학회
  6. Houdart E, "Aneurysm of a dural sigmoid sinus: a novel vascular cause of pulsatile tinnitus", Ann Neurol, 48(4), pp.669~671 (2000)
  7. Sanchez TG, "A new therapeutic procedure for treatment of objective venous pulsatile tinnitus", Int Tinnitus J, 8(1), pp.54~57 (2002)
  8. 나애선, "여러 개의 연결을 가진 경막동정맥루의 경정맥 색전술 치험 1예", 대한이비인후과학회지 두경부외과학, 46(5), pp.444~447 (2003), 대한이비인후과학회

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