Pulsatile tinnitus associated with dehiscent internal carotid artery: An irremediable condition?

Jean Philippe Van Damme, Géraldine Heylen, Chantal Gilain, Pierre Garin

Résultats de recherche: Contribution à un journal/une revueArticle

Résumé

Dehiscent internal carotid artery (ICA) in the middle ear is a rare condition, with conservative treatment primarily recommended. We report the case of a 63-year-old patient referred to the Ear, Nose, and Throat (ENT) ward for unbearable pulsatile tinnitus. Otoscopy revealed a normal right tympanic membrane, with pulsatile tinnitus but without hearing impairment. Based on imaging studies, including computed tomography (CT) and magnetic resonance imaging (MRI) of the temporal bone, as well as Doppler ultrasound of the internal carotid artery and sigmoid sinus, the diagnosis of ICA canal dehiscence into the tympanic cavity was established, thus excluding the diagnosis of aberrant ICA. Following the patient's own request, we undertook surgical correction, with the technique used described in the report. Immediately postoperatively, the pulsatile tinnitus had disappeared, with no surgical complications noted. At the 9-month follow-up, otoscopy revealed a healthy right tympanic membrane and the patient reported no remaining symptoms.

langue originaleAnglais
Pages (de - à)612-615
Nombre de pages4
journalAuris Nasus Larynx
Volume44
Numéro de publication5
Les DOIs
étatPublié - 1 oct. 2017

Empreinte digitale

Tinnitus
Internal Carotid Artery
Otoscopy
Tympanic Membrane
Middle Ear
Doppler Ultrasonography
Temporal Bone
Sigmoid Colon
Pharynx
Hearing Loss
Nose
Ear
Tomography
Magnetic Resonance Imaging

Citer ceci

Van Damme, Jean Philippe ; Heylen, Géraldine ; Gilain, Chantal ; Garin, Pierre. / Pulsatile tinnitus associated with dehiscent internal carotid artery : An irremediable condition?. Dans: Auris Nasus Larynx. 2017 ; Vol 44, Numéro 5. p. 612-615.
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abstract = "Dehiscent internal carotid artery (ICA) in the middle ear is a rare condition, with conservative treatment primarily recommended. We report the case of a 63-year-old patient referred to the Ear, Nose, and Throat (ENT) ward for unbearable pulsatile tinnitus. Otoscopy revealed a normal right tympanic membrane, with pulsatile tinnitus but without hearing impairment. Based on imaging studies, including computed tomography (CT) and magnetic resonance imaging (MRI) of the temporal bone, as well as Doppler ultrasound of the internal carotid artery and sigmoid sinus, the diagnosis of ICA canal dehiscence into the tympanic cavity was established, thus excluding the diagnosis of aberrant ICA. Following the patient's own request, we undertook surgical correction, with the technique used described in the report. Immediately postoperatively, the pulsatile tinnitus had disappeared, with no surgical complications noted. At the 9-month follow-up, otoscopy revealed a healthy right tympanic membrane and the patient reported no remaining symptoms.",
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Pulsatile tinnitus associated with dehiscent internal carotid artery : An irremediable condition? / Van Damme, Jean Philippe; Heylen, Géraldine; Gilain, Chantal; Garin, Pierre.

Dans: Auris Nasus Larynx, Vol 44, Numéro 5, 01.10.2017, p. 612-615.

Résultats de recherche: Contribution à un journal/une revueArticle

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T1 - Pulsatile tinnitus associated with dehiscent internal carotid artery

T2 - An irremediable condition?

AU - Van Damme, Jean Philippe

AU - Heylen, Géraldine

AU - Gilain, Chantal

AU - Garin, Pierre

PY - 2017/10/1

Y1 - 2017/10/1

N2 - Dehiscent internal carotid artery (ICA) in the middle ear is a rare condition, with conservative treatment primarily recommended. We report the case of a 63-year-old patient referred to the Ear, Nose, and Throat (ENT) ward for unbearable pulsatile tinnitus. Otoscopy revealed a normal right tympanic membrane, with pulsatile tinnitus but without hearing impairment. Based on imaging studies, including computed tomography (CT) and magnetic resonance imaging (MRI) of the temporal bone, as well as Doppler ultrasound of the internal carotid artery and sigmoid sinus, the diagnosis of ICA canal dehiscence into the tympanic cavity was established, thus excluding the diagnosis of aberrant ICA. Following the patient's own request, we undertook surgical correction, with the technique used described in the report. Immediately postoperatively, the pulsatile tinnitus had disappeared, with no surgical complications noted. At the 9-month follow-up, otoscopy revealed a healthy right tympanic membrane and the patient reported no remaining symptoms.

AB - Dehiscent internal carotid artery (ICA) in the middle ear is a rare condition, with conservative treatment primarily recommended. We report the case of a 63-year-old patient referred to the Ear, Nose, and Throat (ENT) ward for unbearable pulsatile tinnitus. Otoscopy revealed a normal right tympanic membrane, with pulsatile tinnitus but without hearing impairment. Based on imaging studies, including computed tomography (CT) and magnetic resonance imaging (MRI) of the temporal bone, as well as Doppler ultrasound of the internal carotid artery and sigmoid sinus, the diagnosis of ICA canal dehiscence into the tympanic cavity was established, thus excluding the diagnosis of aberrant ICA. Following the patient's own request, we undertook surgical correction, with the technique used described in the report. Immediately postoperatively, the pulsatile tinnitus had disappeared, with no surgical complications noted. At the 9-month follow-up, otoscopy revealed a healthy right tympanic membrane and the patient reported no remaining symptoms.

KW - Carotid artery, internal

KW - Dehiscence

KW - Pulsatile tinnitus

KW - Surgical approach

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