Endovascular management of sigmoid sinus diverticulum

Srinivasan Paramasivam, Sunil Furtado, Tomoyoshi Shigamatsu, Eric Smouha

Research output: Contribution to journalArticlepeer-review

19 Scopus citations

Abstract

Sigmoid sinus diverticulum (SSD) is a rare vascular disorder due to dehiscence of the sigmoid plate. It may be associated with prediverticular venous sinus stenosis (SS) and usually presents as pulsatile tinnitus. The mechanism of development of the SSD and tinnitus from a sinus diverticulum and associated SS is unclear. Previous case reports have suggested that remodeling of the venous system targeting the stenosis, elimination of the diverticulum, or both, have resulted in symptom relief. We present a case of SSD with SS, treated by stenting of the stenosis along with coil embolization of the diverticulum, resulting in complete relief of symptoms. We have also reviewed the literature and discussed the evolution of management from open surgical treatment to endovascular treatment.

Original languageEnglish
Pages (from-to)76-80
Number of pages5
JournalInterventional Neurology
Volume5
Issue number1-2
DOIs
StatePublished - 14 Jun 2016

Keywords

  • Pulsatile tinnitus
  • Sigmoid sinus diverticulum
  • Sinus stenosis

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