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• W3136991165 abstract "•Dural venous sinus stenosis is a cause of refractory pulsatile tinnitus. •Coexistent venous sinus diverticula may contribute to the tinnitus. •Intracranial hypertension commonly accompanies sinovenous stenosis. •Stenting is a successful treatment for pulsatile tinnitus due to sinus stenosis. •Stenting leads to tinnitus resolution even in cases with concomitant diverticula. AIM To assess the efficacy of endovascular venous sinus stenting (EVSS) in treating pulsatile tinnitus (PT) caused by dural venous sinus stenosis (DVSS), and to determine whether it is an adequate remedy in cases with concurrent venous anomalies. MATERIALS AND METHODS Seventeen patients (13 female and four male) with PT due to DVSS were treated using EVSS. The trans-stenotic pressure gradient (PG) was measured before and after stenting. The effect of stenting on the tinnitus was evaluated by questioning the patients at day 0, and at 3, 6, and 9 months after stenting. RESULTS Except for one patient who continued to complain of PT, all of the patients, including two with concomitant sinus diverticula, described complete resolution of the tinnitus immediately following stenting. The post-stenting PG was significantly lower than the pre-stenting PG (p<0.0001). No procedure related complications occurred and no recurrence was recorded during the follow-up period. CONCLUSION EVSS is a safe and successful treatment for PT due to DVSS even in cases with coexistent sinus diverticula. To assess the efficacy of endovascular venous sinus stenting (EVSS) in treating pulsatile tinnitus (PT) caused by dural venous sinus stenosis (DVSS), and to determine whether it is an adequate remedy in cases with concurrent venous anomalies. Seventeen patients (13 female and four male) with PT due to DVSS were treated using EVSS. The trans-stenotic pressure gradient (PG) was measured before and after stenting. The effect of stenting on the tinnitus was evaluated by questioning the patients at day 0, and at 3, 6, and 9 months after stenting. Except for one patient who continued to complain of PT, all of the patients, including two with concomitant sinus diverticula, described complete resolution of the tinnitus immediately following stenting. The post-stenting PG was significantly lower than the pre-stenting PG (p<0.0001). No procedure related complications occurred and no recurrence was recorded during the follow-up period. EVSS is a safe and successful treatment for PT due to DVSS even in cases with coexistent sinus diverticula." @default.
• W3136991165 created "2021-03-29" @default.
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• W3136991165 date "2021-07-01" @default.
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• W3136991165 title "Relentless pulsatile tinnitus secondary to dural sinovenous stenosis: is endovascular sinus stenting the answer?" @default.
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• W3136991165 doi "https://doi.org/10.1016/j.crad.2021.02.022" @default.
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