Korean J Otorhinolaryngol-Head Neck Surg.  2007 Dec;50(12):1152-1156.

A Case of Pulsatile Tinnitus with High Jugular Bulb Treated by Ligation of Internal Jugular Vein

• Park SN
• Park KH
• Im DJ
• Yeo SW

Abstract

Objective
tinnitus due to high jugular bulb is a rare presenting symptom. Annoying pulsatile tinnitus caused by high jugular bulb which may cause sleep disturbance or hearing impairment can be treated by surgical therapy of ligation of internal jugular vein. We present a case of pulsatile tinnitus with high jugular bulb which has been treated by surgical therapy. Otologic examination demonstrated bluish mass in hypotympanic portion behind intact tympanic membrane and temporal bone CT showed the high jugular bulb. Audiological characteristics and the nature of tinnitus was also described. After the angiographic examination, the site for venous ligation was confirmed by compression of internal jugular vein with the probe of doppler sonogram. The patient's pulsatile tinnitus has completely disappeared two weeks after surgery.

Keyword

Pulsatile tinnitus; Jugular vein; Ligation

MeSH Terms

Hearing Loss
Jugular Veins*
Ligation*
Temporal Bone
Tinnitus*
Tympanic Membrane