CT Arteriography and Venography in Pulsatile Tinnitus: Preliminary Results
A. Krishnana,
D.E. Mattoxb,
A.J. Fountaina and
P.A. Hudginsa
a Neuroradiology Division, Department of Radiology, Emory University School of Medicine, Atlanta, Ga
c Department of Otolaryngology, Emory University School of Medicine, Atlanta, Ga
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Fig 1. Dominant left venous sinus system in a 27-year-old woman with left-sided pulsatile tinnitus. A, Coronal image at intermediate window demonstrates a dominant left sigmoid sinus (arrows).
B, Note the markedly dominant left jugular vein on this axial image at the jugular foramen level.
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Fig 2. Venous diverticulum in a 69-year-old man with long-standing right-sided pulsatile tinnitus. A, Axial image demonstrates a right distal transverse sinus venous diverticulum extending through a dehiscent sigmoid plate into the mastoid complex (arrow).
B, Axial image, same level, wider windows for bone detail confirms the osseous defect and the diverticulum (arrow).
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Fig 3. Transverse sinus stenosis in a 34-year-old woman with right-sided pulsatile tinnitus. A, Axial image in a vascular window demonstrating a distal right transverse sinus stenosis (arrows).
B, Coronal image in a vascular window in the same patient demonstrating a distal right transverse sinus stenosis (arrows).
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