Pulsatile Tinnitus due to a Tortuous Siphon-Like Internal Carotid Artery Successfully Treated

Pulsatile Tinnitus due to a Tortuous Siphon-Like Internal Carotid Artery Successfully Treated by Arterial Remodeling
Dirk De Ridder, Sven Vanneste,* and Tomas Menovsky
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Abstract
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.



The full text plus the little pictures are here: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3626362/

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