Endovascular treatment of a transverse—sigmoid sinus aneurysm presenting as pulsatile tinnitus

Case report

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  • 1 Departments of Neuroradiology and Endovascular Therapy, and Neuro-Otology, Instituto Nacional de Neurología y Neurocirugía “Manuel Velasco Suárez”; and Medica Sur Foundation, Tlalpan, México
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✓ The authors report on the case of a 38-year-old woman who had experienced incapacitating pulsatile tinnitus in the left ear for 6 months. Angiographic studies revealed a wide-necked venous aneurysm of the left transverse—sigmoid sinus. Solitary stent placement across the aneurysm neck resulted in a slight modification in the lesion's characteristics. A second session, in which embolization with Guglielmi Detachable Coils was performed, resulted in a 100% occlusion of the aneurysm, with patency of the parent vessel and resolution of the tinnitus.

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Contributor Notes

Address reprint requests to: Marco Zenteno, M.D., Insurgentes Sur 3877, Colonia la Fama, Delegación Tlalpan, México, D.F. 14268. email: luismur@avantel.net.
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