Original Research Article

Endovascular treatment of sigmoid Sinus diverticulum in patients with pulsatile tinnitus:

This retrospective study reviewed 23 patients (26 sigmoid sinus diverticula) with refractory pulsatile tinnitus treated endovascularly between 2020 and 2024. Most diverticula were saccular, and all patients had transverse sinus stenosis. Treatments included stenting alone, stent-assisted coiling, or coiling alone. At 3 months, 88.5% of patients experienced complete symptom resolution, and the remaining 11.5% showed partial improvement. No significant differences in outcomes were observed among the treatment approaches.

Impression: These results suggest that simply improving blood flow with a stent may be enough to relieve symptoms, without needing to treat the diverticulum directly.

From Boston Medical Center, 1 Boston Medical Center, Boston, MA 02118, USA. 

View at: https://doi.org/10.1177/15910199251342397

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