Pulsatile tinnitus with pulsatile tympanic membrane without retrotympanic mass: A CARE case report - 18/03/26
, O. Heck c, S. Schmerber a, b, d, R. Quatre a, b, d, eAbstract |
Introduction |
Giant arachnoid granulation can induce lateral sinus stenosis with sigmoid sinus dehiscence, causing pulsatile tinnitus with pulsatile tympanic membrane without retrotympanic mass.
Case report |
A 78 year-old man presented unilateral left pulsatile tinnitus since 2009, with recent aggravation. Otoendoscopy showed a pulsatile tympanic membrane, in which movement was halted by jugular compression or Valsalva maneuver. CT angiography and MRI found large arachnoid granulation causing left lateral sinus stenosis and eroding the sigmoid sinus wall. Stenting resolved the tinnitus, while the eardrum remained pulsatile.
Discussion |
Giant arachnoid granulation can induce lateral sinus stenosis and sigmoid sinus dehiscence, with turbulent venous flow and pulsatile tinnitus. The erosion can transmit cerebrospinal fluid pulsation to the sigmoid sinus and then to the tympanic membrane, where it is visible on otoscopy when the membrane is fragile.
Le texte complet de cet article est disponible en PDF.Keywords : Pulsatile tinnitus, Arachnoid granulation, Lateral sinus, Sigmoid sinus, Pulsatile tympanic membrane
Plan
Vol 143 - N° 2
P. 131-133 - mars 2026 Retour au numéro
Article précédent
- Bilateral hypoglossal nerve palsy after sclerotherapy for lymphatic malformation
- N. Leboulanger, G. Boulouis, O. Naggara
- Olfactory cleft adhesion in post-COVID-19 olfactory dysfunction
- H. Tanaka, E. Kubota, N. Otori, E. Mori
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?